When is cleft palate repair typically performed in infants?

• A. Immediately after birth
• B. Usually around 9–18 months
• C. At 2-3 years
• D. At 6-12 months

Answer: (B)

Timing palatal repair around 9 to 18 months balances the need for early speech development with the goals of preserving facial growth and allowing safe anesthesia. Repairing the palate within this window helps establish proper velopharyngeal function so the child can develop clearer speech and reduce hypernasal resonance as early language skills emerge. Doing the repair too soon—immediately after birth—takes place before the tissues are adequately developed and increases anesthesia and healing risks, without a clear speech benefit. Waiting until 2–3 years is too late for optimal speech outcomes and can make rehabilitation more challenging. The 9–18 month window reflects the common approach to support normal speech milestones while minimizing interference with maxillary growth.