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Speech Language Pathology + Audiology

The Cleft Lip and Cleft Palate Clinic

Specialists Dedicated to Helping Children with Craniofacial Differences

If your child was born with a craniofacial condition, such as a cleft lip and/or cleft palate, you've come to the right place. Here at Floating Hospital for Children, you'll find a close-knit medical team committed to providing the years of treatment, support and care that children with cleft conditions need, from speech therapy to surgery. In fact, all of our specialists have a particular interest in caring for children with cleft lip and/or cleft palate, with many having acquired additional, subspecialty training.

You'll find our clinic is just the right size. While we draw upon the expertise of a major academic medical center, we're also just small enough to foster a unique, family-oriented atmosphere.

See the Difference

To see the results of procedures we've done for some of our littlest patients, we invite you to look at the collection of before-and-after pictures in our new Craniofacial Surgery Photo Gallery.

Read the article about Dr. Andrew Scott's patient in the Burlington Patch.

Read the article about our program in Healthy Futures.

Read the latest article about nasal alveolar molding (NAM).

What You and Your Child Can Expect

Parents may come to us after a cleft condition has been identified at birth or having adopted a child with a cleft condition. Many parents find us before their baby is even born, after a cleft lip has been discovered during routine prenatal care. 

While corrective surgery is highly effective, children with cleft conditions require ongoing monitoring and care as they grow and mature, up to age 18. We have a number of highly skilled medical, surgical and rehabilitative specialists, including:

  • Feeding therapists, audiologists and speech therapists
  • Pediatric facial plastic; ear, nose and throat (ENT); and oral surgeons
  • Pediatric dentists and orthodontists
  • Child psychiatrists
  • Geneticists and genetic counselors

Our team also provides additional support to families, offering the opportunity to talk to other parents of children with cleft conditions.

The Floating Hospital Cleft Lip and Cleft Palate Team delivers a variety of diagnostic, treatment and follow-up services, including:

  • Speech pathologists to address feeding concerns early in life
  • Early jaw advancement for micrognathia (small jaw) causing breathing and feeding difficulties
  • Plastic surgery to repair cleft lip and/or cleft palate
  • Dental and orthodontic treatments to improve tooth and gum alignment, including nasoalveolar molding therapy (NAM) for babies awaiting cleft lip repair
  • Speech and language evaluations along with speech therapy to improve speech skills
  • Speech pathologists doing combined evaluations with ENT surgeons to determine if speech surgery is appropriate in addition to speech therapy
  • Audiologists conducting hearing tests to check for hearing problems
  • Medical and surgical treatment of chronic ear disease
  • Oral surgery to correct clefts and gaps in the gum line
  • Orthognathic surgery during teenage years to improve alignment and balance between upper and lower jaws
  • Rhinoplasty (nose surgery) to improve nasal breathing and external appearance of nose 

Andrew Scott, MD

Andrew Scott, MD

Title(s): Medical Director, Cleft Lip and Palate Program; Pediatric Otolaryngologist; Assistant Professor, Tufts University School of Medicine
Department(s): Otolaryngology, Pediatric Otolaryngology
Appt. Phone: 617-636-2820
Fax #: 617-636-1479

Pediatric ENT, cleft lip and palate surgery, vascular anomalies, neonatal mandibular distraction osteogenesis for airway obstruction, endoscopic and laser airway surgery, open airway surgery, EXIT procedures, otologic surgery including cochlear implantation, micrognathia, microtia

View Full Profile

The Cleft Lip and Palate Clinic is located on the sixth floor of Floating Hospital in the Pediatric Otolaryngology Clinic. Families receive discounted parking in the hospital garage, accessible from Tremont and Washington Streets.

We are steps from the T, located at the Tufts Medical Center stop on the Orange Line.

Directions to Floating Hospital for Children

Maps of Floating Hospital for Children

Family Support

Many families have found support by talking with other parents who have children with cleft lip and palate. The Floating Cleft Team offers the opportunity to talk individually with other families. Contact information for parents willing to share their experiences is available upon request.

Online Resources

Cleft Palate Foundation

  • Prenatal resources / packets including fact sheets and instructional videos.
  • Fact sheets and booklets specifically for teens with cleft lip/palate. 
  • External links for support groups.

Wide Smiles

  • A resource with practical information for parents on everyday things: how to word birth announcements, how to tell siblings, etc.
  • A resource for older children on how to handle school teasing and self-esteem concerns.
  • New Parent Packet with info every new parent should know.


  • A blog where parents can chat and have their questions answered. 
  • They have a cleft lip/palate support group page.

Local Resources

Foundation for Faces of Children

Based in Brookline, Mass. It is geared more for craniofacial anomalies, but also has some information on cleft lip/palate.

Prescription Parents

A local support group based in Needham, Mass, for parents with children with cleft lip/palate. 617-499-1936.

To refer a patient or schedule a consultation (including prenatal consultation for mothers expecting a baby with cleft lip and/or cleft palate), please call Dr. Arnold Lee or Dr. Andrew R. Scott at the Cleft Lip and Palate Clinic at 617-636-2820 from 8 a.m. to 5 p.m., Monday through Friday.

In addition, members of our clinic staff are available for feeding consultation. For more information, call 617-636-5632.

You may also email the team at:

Pediatric ENT at Floating Hospital for Children before and after slideshow.

The Craniofacial Surgery Photo Gallery

View before-and-after images of our young patients, proof that beauty lies is in the smiles of the beholden.

View Photo Gallery

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