Management of Persistent Hypernasality After Pharyngeal Flap: A Novel V-to-Y Revision Procedure to Tighten the Lateral Ports.

BackgroundVelopharyngeal 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.SolutionOne solution to persistent VPI is flap revision, but there is a paucity of revision techniques described in the literature.What We DoWe present a novel technique for pharyngeal flap revision utilizing a V-to-Y procedure to tighten the lateral pharyngeal ports.