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Isolated midline cleft of the soft palate occurs in approximately half of all cases of cleft palate, giving an incidence of 5 per 10 000 newborn caucasian babies per year. High risk groups include family history, maternal exposure to certain teratogens, and as part of certain syndromes. During the routine neonatal examination, Rennie advises that the palate is seen directly, “palpation is not enough”.1 However, …