Yesterday we had an appointment with Payton's ENT for follow up to her T&A surgery. My concerns have been clarified ... she does not have a submucous cleft palate. She does, however, have a bifid uvula. In light of that, the surgeon palpated the palate, but did not feel any evidence of a cleft. Despite this, she was very conservative in removing the adenoids, basically acting as though she did have a cleft, even though she does not. I feel comfortable with this. We have not noticed her speech turning nasal since surgery, so it seems that all is well. Who would have known there could be such issues?!