Cleft lip and palate are variations of a type of congenital deformity caused by abnormal facial development during gestation. The main organs affected are mouth, nose and ear. Hence treatment of the condition is aimed to provide optimum function of all these organs. Apart from correction of oral competence and ear pathology, speech correction is always a challenging aspect of the management in patients of cleft palate. Various methods of palatoplasty have been described ranging from anatomical closure to the functional closure of the defect. Both methods have their own advantage, disadvantages and outcomes. We present a case series to compare these two methods with special reference to speech outcome.

Keywords: Cleft Palate; Palatoplasty; Intravelar Veloplasty.