A New Operation for Velopharyngeal Insufficiency

Myomucosal flaps employing the palatoglossi were used to correct posttonsillectomy velopharyngeal insufficiency because the palatopharyngeus were resected with the posterior tonsillar pillar. This new sphincter pharyngoplasty may have a role as a secondary option for treatment of velopharyngeal insufficiency. It should be remembered that this operation has only been performed in a single patient without cleft palate, and, therefore, its application in the cleft population and its potential complication rate are unknown.