William A Stefani MD
I am assuming your daughter is part of a multidisciplinary cleft palate team. As you know, she is getting her cleft palate repaired relatively late in age. Repairing the anatomy of the cleft palate will definitely help with nasal air leakage with speech and food coming through the nose. She should continue with her intense speech therapy postop as prescribed by your craniofacial surgeon. All of those together should make your daughter's speech better.
Best of luck, hope that helps.