Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 16 2 2022 04 01 154 160 Nahid Jalilevand Department of Speech and Language Pathology, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. Maryam Tarameshlu Department of Speech and Language Pathology, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. Narges Moein Department of Speech and Language Pathology, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. Arash Bordbar Department of Pediatrics, Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran. 2021 02 08 2021 06 16 Introduction: Children with cleft lips and or palates are at risk for speech and language disorders. Early speech and language intervention help them to advance their full speech and language abilities. This study aimed to determine whether language abilities in toddlers with oral clefts would differ from those of normal children. Materials and Methods: The study recruited 2 groups of children aged 12 to 24 months. The toddlers with cleft lips and or palates as a group of children with orofacial anomalies were born at Shahid Akbar-Abadi Hospital from March 2017 to March 2019 in Tehran City, Iran. The parents of non cleft children and those with oral clefts answered the questions of the verbal and non-verbal communication screening checklist for Persian-speaking children. Results: The results showed significant differences between the scores of the receptive-expressive language achieved by toddlers with clefts and non-clefts peers aged 12-18 months (P<0.05) and 18-24 months (P<0.05). But the results showed no significant differences between the non cleft toddlers and those with clefts in non-verbal communication (P>0.05). Conclusion: The toddlers with orofacial anomalies need early speech and language intervention. https://jmr.tums.ac.ir/index.php/jmr/article/view/374