Bifid Uvula Submucous Cleft — NDEB AFK MCQ
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Correct answer: C — Cleft palate (submucous cleft)
A bifid (split) uvula is a microform of cleft palate and may indicate a submucous cleft palate — a condition where the muscles of the soft palate are separated in the midline but covered by intact mucosa. The classic triad of submucous cleft palate is: (1) bifid uvula; (2) zona pellucida (translucent midline zone in the soft palate where muscles are separated); and (3) palpable notch in the posterior border of the hard palate. Patients may present with hypernasal speech and velopharyngeal insufficiency. Referral to a cleft palate team is indicated.
Reference: Proffit – Contemporary Orthodontics, 6th ed., 2019; Neville – Oral and Maxillofacial Pathology, 4th ed., 2016