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Problems can include: difficulty feeding a baby with a cleft lip and palate may be unable to breastfeed or feed from a normal bottle because they cannot form a good seal with their mouth hearing problems some babies with a cleft palate are more vulnerable to ear infections and a build-up of fluid in their ears (glue ear), which may affect their hearing dental problems a cleft lip and palate can mean a child's teeth do not develop correctly and they may be at a higher risk of tooth decay speech problems if a cleft palate is not repaired, it can lead to speech problems such as unclear or nasal-sounding speech when a child is older Most of these problems will improve after surgery and with treatments such as speech and language therapy