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However, as they grow older and their social interactions increase, children with clefts tend to report more dissatisfaction with peer relationships and higher levels of social anxiety.

Experts conclude that this is probably due to the associated stigma of visible deformities and possible speech impediments.

When cleft palate occurs, the uvula is usually split. A result of an open connection between the mouth and inside the nose is called velopharyngeal inadequacy (VPI).

It occurs due to the failure of fusion of the lateral palatine processes, the nasal septum, or the median palatine processes (formation of the secondary palate). Because of the gap, air leaks into the nasal cavity resulting in a hypernasal voice resonance and nasal emissions while talking.

Children who are judged as attractive tend to be perceived as more intelligent, exhibit more positive social behaviors, and are treated more positively than children with cleft lip or cleft palate.