Velopharyngeal insufficiency (VPI) is common in patients with a repaired cleft palate. 18% to 20% of patients who undergo superiorly based pharyngeal flap for VPI may require a revision procedure due to persistent hypernasality.
Solution
One solution to persistent VPI is flap revision, but there is a paucity of revision techniques described in the literature.
What We Do
We present a novel technique for pharyngeal flap revision utilizing a V-to-Y procedure to tighten the lateral pharyngeal ports.
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