Barely Significant
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Assessment of Speech in Primary Cleft Palate by Two-layer Closure (Conservative Management).

J Surg Tech Case Rep · 2012 · PMC3461783 · PMID 23066454

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highly significantno p-value reported
They concluded that there was highly significant improvement in hypernasality, nasal emission, and velopharyngeal closure.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.