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Association of intraoral synechia and cleft palate has been described in 1972. Other known associa-tions are with cleft lip, micrognathia, microglossia, limb anomalies, cardiac anomalies, hydrocephalus, hypospadias and temporomandibular joint ankylo-sis, along with a variety of syndromes.[1] Embryo-logical explanations for this condition include per-sistence of buccopharyngeal membrane or subglos-sopalatal membrane, amniotic bands, or the pres-ence of rudimentary epithelial elements during pal-atal fusion.[2] The cleft palate that is often associat-ed with intraoral synechiae is thought to be a se-quence. The membrane does not allow the tongue to grow forward which in turn gets interposed between the two developing palatal shelves, inhibiting them from midline fusion.[3] Oral synechiae require only simple excision with airway management during surgery.[4]Consent:Authors declared that they have taken in-formed written consent, for publication of this report along with clinical photographs/material, from the legal guardian of the patient with an under-standing that every effort will be made to conceal the identity of the patient however it cannot be guaranteed.Author contributions:All the authors contributed fully in concept, literature review, and drafting of the manu-script and approved the final version of this manuscript.