cases

During routine examination of a well 4-year-old boy in your office, you notice a bifid

• uvula . On palpation of the soft palate, you suspect a submucous cleft palate.: Bifid uvula and a submucous cleft palate for
• the child described In the vignette.
• Of the following, this child is at GREATEST risk for
• A. conductive hearing loss
• B. dental anomalies
• C. dysphagia
• D. problems with articulation

 E. recurrent sinusitis

• Preferred Response: A
• Patients with a bifid uvula are at increased risk of having a submucosal cleft
  palate.
  • Submucosal cleft palate may be detected by a visible dimpling or notching of
  the posterior palate or by palpating a defect on physical examination.
  • Conductive hearing loss, which may be associated with recurrent acute otitis
  media or chronic serous otitis media, is one of the most common
  consequences of submucosal cleft palate.):