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Article: Volume 42 Number 3 Page 247 - April 2015

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  Dent Update 2015; 42: 247-249

Oral and Maxillofacial Surgery:  Keep an Eye Out for the Bifid Uvula: A Case Report

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Abstract: The incidence of submucous cleft palate is between 1:1250–1:6000. It is important for this relatively silent deformity to be identified early and referred appropriately as a delay in diagnosis may affect the patient’s quality of speech in the long term. This paper presents a case of submucous cleft palate which was diagnosed late (age 14). Nevertheless, by the appropriate intervention of the multidisciplinary cleft team, the patient was treated successfully.

Clinical relevance: Dentists and doctors need to be aware of the signs and symptoms associated with submucous cleft palate so that they can refer the patient to an appropriate specialist centre for further investigation and treatment. Moreover, patients with this condition are shown to have a higher incidence of dental abnormalities, such as hypodontia and peg-shaped laterals.

Author notes: Seyed Alroyayamina, BDS (Lond), Department of Oral and Maxillofacial Surgery and Orthodontics and Mary McKnight, BDS Wales, DOrth, MSc, MOrth, FDS (Orth), Consultant in Orthodontics, Department of Oral and Maxillofacial Surgery and Orthodontics, John Radcliffe Hospital, Oxford, UK.

Objective: To improve awareness in the diagnosis of submucous cleft palate and to demonstrate the importance of its early detection and referral.