Cleft palate, a common congenital malformation, is mainly manifested as a cleft at the top of the mouth, with the oral and nasal cavities connected, preventing normal eating and pronunciation, and resulting in a series of physical and psychological disorders. As children with cleft palate get older, the effects of dysarthria become more pronounced. Many children with cleft palate are unable to communicate effectively with others due to their severe cleft palate, and are unable to integrate with children of the same age, and are rejected and ridiculed. For a long time, due to the influence of traditional concept, many people think that the treatment of cleft palate is surgery, and after the surgery, it is natural to get the same pronunciation as normal people, and some people are at the mercy of God and let nature take its course after the cleft palate surgery. In fact, these two views are not in line with the objective situation of cleft palate treatment, and will also delay the follow-up treatment of patients. Cleft palate repair surgery can close the cleft palate and form a normal static physiological structure of the oral cavity, providing the necessary physiological structural foundation for restoring normal pronunciation, but the physiological structural foundation alone is not enough to improve pronunciation. Only on the basis of successful surgery to establish a normal oral confinement environment and good palatopharyngeal closure function, and active and correct voice training, can we achieve satisfactory results. I. The timing of speech training for cleft palate Those who have undergone cleft palate repair surgery and have obtained good palatopharyngeal closure function; the age is generally above 3 weeks old; language training starts 1 month after surgery. Speech training method Firstly, train the function of palatopharyngeal closure, then practice the function of restrained expiration, and finally practice articulation. 1, enhance the training of palatopharyngeal closure function: practice pronouncing “ah” or yawning or singing loudly to raise the soft palate; practice increasing the air pressure in the mouth, after the patient inhales deeply, close the lips tightly, pinch the nostrils with the fingers, and then exhale the air slowly into the mouth. When the jet is strong or nasopharyngeal fiber endoscopy shows the recovery of palatopharyngeal closure function, and then the next step, young children can also blow bubble training, in a small cup, holding about 1/3 of the water, with a thin straw blowing bubbles, if a breath blown out for more than 20 seconds can be voice training. 2.Enhance the function of restrained exhalation training: You can practice playing musical instruments, such as harmonica, horn, flute, etc. At the beginning, it is recommended to practice the harmonica method, from simple to complex. 3.Practice pronunciation: After completing the above two items, you can start to practice pronunciation. First practice phonemes (vowels, consonants), you can control the audio and video tapes, first practice the air delivery sound, and then pronounce “a, o, e” and other Chinese pinyin, until the pronunciation standard, during the practice period to be constantly corrected, older people can practice mouth shape to the mirror. In the early stage of training, be careful not to add “i, u” and other pinyin that can be easily nasalized. 4.Practice phrases and conversation: When practicing the phrase, each word in the statement should be pronounced clearly and not confused with each other, and after being able to read short sentences correctly, you can start to read long articles. Rehabilitation guidance 1. 3 months after surgery, you need to massage the upper palate with your thumb and do backward pushing action and start speech correction. 2.Strengthen palate muscle training, such as blowing piano, blowing balloon, bubble, etc. to strengthen palatopharyngeal closure. You should start learning Hanyu Pinyin from the beginning, and be progressive and persistent. 3, 1 month after surgery for muscle function training, 3 months later for systematic voice training, those who have conditions should go to special voice training clinics for training. 4.Pay attention to oral hygiene, strengthen oral care, and rinse the mouth after eating. 5.Postoperatively, we should communicate and exchange more with the patients and their families, make a speech training plan for the patients, from simple to complex in a planned and systematic way, generally carry out monosyllabic vowel and consonant training first, then carry out multisyllabic pronunciation practice, word and utterance training, and gradually lengthen sentences and speed up, and encourage patients to communicate as much as possible. More attention should be paid to the psychological care of patients in the process of speech training. By cooperating with patients’ family members, patients should be encouraged to re-establish their confidence in overcoming the disease and speech difficulties, overcome inferiority complex, train more, communicate more, progress gradually and persistently, which is the only way to ensure the smooth progress of speech rehabilitation treatment. 6.Follow up the improvement of voice regularly and determine whether further surgery or specialized voice training is needed.