3 5 child cleftpalate cleftpalatechildren communication communicationdisorders communicativedisorders complications complicationsetsequelles d9200us37 diagnosis diseases enfantsporteursdefentepalatine fentepalatine fissuralabiopalatina gespletengehemelte hispanicamericans kind linguagem logopedie logopädie methods orthophonie readaptation speechdisorders speechtherapy speechtherapyforchildren spraakstoornissen therapy traitement transtornosdacomunicação treatment troublesdelaparole velopharyngealinsufficiency wm475l273h1992