According to a study published Online First in Archives of Facial Plastic Surgery, patients with wider cleft palates seem to have an increased risk of developing hyper nasal speech and nasal air escape during speaking (velopharyngeal insufficiency or VPI) after surgery. The study's background information states that about one of 2,000 live births has an isolated cleft palate, and between 2 to 30% of patients suffer from VPI, following cleft palate repair surgery. Derek J. Lam, M.D., M.P.H...
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