EN
Palatopharyngeal incompetence in children with cleft soft (or soft and hard) palate significantly disturbs speech development and can even lead to the situation where only vowels and nasal consonants can be distinguished in a child’s speech. When planning a speech therapy for such a child, a therapist should take many aspects into account, the most important being anatomical conditions created by a surgeon in the palatopharyngeal sphincter and the articulatory apparatus fitness level, in particular as regards muscles of the palate and the pharynx. This will permit an appropriate identifi cation of the therapy objectives and planning of a range of measures to this end. The paper presents two speech therapy paths in the case of open nasality depending on the cause of the palatopharyngeal incompetence: anatomical or functional.