Cleft Palate

Conveniently located to serve New York City, Queens, Bronx, Brooklyn, Long Island

A cleft palate (or hole in the roof of the mouth) may occur along with a cleft lip or in isolation. Dr. Bradley believes that the correct timing and proper surgical technique is vital to achieve closure necessary for normal speech. He will work with you, the speech therapist, and otologist (hearing specialist) to make sure the best speech possible is achieved.

Cleft Palate Objectives

  • To complete a layered closure of palate without developing a fistula (or small hole).
  • To create a functional soft palate with ability to elevate and block nasal air escape during certain speech sounds.

State-of-the-Art Techniques

Modified Von Langenbeck repair with nasal lining, layered muscle, and oral mucosal repair is used for most cleft palate repairs.

Furlow double opposing Z-plasty technique is used for narrow or submucosal cleft palates.


When should my child have the cleft palate repaired?

The repair should typically take place between 10-12 months of age.

Will my child need ear tubes?

Most children with cleft palate require myringotomy (ear) tubes placed during the cleft palate repair to minimize middle ear infection and maximize hearing during the critical language acquisition period.

How is a palate fistula fixed?

If a small hole develops immediately after cleft palate repair, it usually closes without surgery. Fistulas that remain and cause speech problems should be repaired with a minor, outpatient surgery.

Your Cleft Palate procedure will be performed in James P Bradley, MD's surgery center located in New York.
Read Our Patient Stories


“Dr. James Bradley was one of the many surgeons I considered for my surgery, when i met him i knew he met all the criteria! Sweet, experienced, and reassuring. He did not make me feel rushed and made me feel very comfortable, as a nurse i am very sensitive to what makes a good doctor. I had no complications post-op and am very grateful to him and his staff for accommodating me during this crazy time in the health care industry! Thank you again Dr. Bradley !!!

Heather C.

“Dr. Bradley and his whole staff (Lia, Sabrina, Nicole) all fabulous! My questions and concerns were noted and answered. I was cared for and looked after. A wonderful practice. !!!

Summer S

“Dr Bradley did an amazing job for me.!!!

Tama S.