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ENT · Oral cavity: timing of palatoplasty
Sample itemA baby is born with an isolated cleft of the hard and soft palate. At what age is palatoplasty ideally done to favour normal speech development?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Around 9 to 12 months
Palatoplasty is usually done between 9 and 12 months, before speech develops, to give a functioning velopharyngeal mechanism. Cleft lip repair is usually at about 3 months. Later repair risks persistent speech abnormalities.
Option by option
A. Around 9 to 12 months (correct)
Correct. Repair before speech development, at about 9 to 12 months.
B. At puberty
Puberty is too late.
C. Within the first week
Repair in the first week is too early for safe anaesthesia and surgery.
D. At 5 years
Waiting until 5 years leads to compensatory speech habits.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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