Objective: To determine relationship between screening perceptual assessment for resonance disorders and nasalance scores.
Material and Method: Screening perceptual assessment of 115 children with cleft palate with or without lip was performed to determine its relationship to nasalance sores. The perceptual assessment 3-scale (-1: hyponasality; 0: normal; +1: hypernasality) was compared to nasalance scores based on nasometry. To find the weight of Kappa, nasalance scores were converted to a 3-ordinal scale with 3 criteria for cut-off points (-1: nasalance score -1, -1.5 and -2 SD lower than the mean; 0: nasalance score + 1 SD, + 1.5 and + 2 SD of the mean; and +1: nasalance score + 1 SD, + 1.5, and + 2 SD greater than the mean).
Results: Correlations between screening perceptual assessment and nasalance scores were good to excellent. The percentage of agreement was good, the Kappa reliability was fair to moderate in passages of a mixture of oral and nasal consonants (My House) and devoid of nasal consonants (Laying Hen). A weak relationship was found for the nasal passage (Winter).
Conclusion: The relationship of speech assessments in the present study varied, as it depended on the different variables and analysis. To ensure a strong relationship, further prospective study is needed.

Keywords: Perceptual evaluation, Nasalance score, Cleft, Resonance disorders