Superiorly based pharyngeal flap is used in eight patients of cleft palate of Velophryngeal Incompetence. Hypernasality and nasal escape in use of oral explosives was substantially reduced following surgery. These patients were subjected to flexible Fibreoptic nasopharyngoscopy to study the morphology of the pharyngeal flap and the role it plays in reducing the amount of velopharyngeal incompetence. Movements of the soft palate and the lateral pharyngeal walls decided the outcome of the result of the Superior Pharyngeal flap surgery. Preoperative Nasopharyngoscopy plays a very important role in deciding the type of Pharyngplasty to be performed.
Key Words
Velopharyngeal incompetence - pharyngoplasty - Nasopharyngoscopy
