What is most likely to occur in an infant with an unrepaired cleft palate?

In the context of an infant with an unrepaired cleft palate, the occurrence of nasal regurgitation is highly likely due to the anatomical disruption that the cleft causes in the structure of the palate. A cleft palate results in an opening in the roof of the mouth, which can hinder the baby's ability to create the necessary suction to effectively feed. As the infant sucks or swallows, food or liquid can easily escape out through the nose because there is a connection between the oral cavity and the nasal cavity. This phenomenon is directly related to the mechanics of feeding and the integrity of the palatine structure, making nasal regurgitation a common and significant concern in these infants.

Choking, aspiration pneumonia, and tongue thrust may also present challenges in infants with a cleft palate, but nasal regurgitation is the most characteristic symptom resulting from the feeding difficulties tied specifically to the open connection created by the cleft. Understanding the implications of an unrepaired cleft palate is essential for caregivers and clinicians to effectively manage feeding and prevent complications.