Objective: To test the null hypothesis that there were no significant differences for pharyngeal airway volumes between the adolescent patients affected by bilateral cleft lip and palate (BCLP) and well-matched controls using cone beam computed tomography. Materials and Methods: The study sample consisted of 16 patients (11 female and 5 male; mean [SD] age 14.1 [2.1] years) affected by BCLP and 16 patients (10 female and 6 male; mean [SD] age 13.4 [2.0] years) as age-and sex-matched control group. Craniofacial measurements and pharyngeal airway dimension, area, and volume measurements of patients in both groups were calculated and statistically examined using Student's t-test and multiple linear regression analyses. Results: Statistically significant differences were found between the BCLP and control groups for SNB (P , .05), SN-GoGn (P , .05), Co-A (P , .05), PAS (P , .01), minAx (P , .01), and oropharyngeal airway volume (P , .05). The most predictive variables for oropharyngeal airway volume were found as PAS (r 5 .655 and P 5 .000) and minAx (r 5 .787 and P 5 .000). Conclusions: The null hypothesis was rejected. Oropharyngeal (P , .05) and total (P . .05) airway volumes were found to be less in the BCLP group, and thus the treatment choice in these patients should have positive effects on the pharyngeal airway. (Angle Orthod. 2014;84:995-1001.)