Velopharyngeal Insufficiency and Hypernasal Voice: 15 Years' Experience With Furlow Palatoplasty

Recently, several investigators have discussed one of the most controversial topics concerning cleft palate, the diagnosis and treatment of velopharyngeal insufficiency (VPI),1-3 including an article in the Journal of Oral and Maxillofacial Surgery.1 This inadequate function of the velopharyngeal sphincter is a condition observed in up to 40% of children operated on for cleft palate. Hypernasal speech and nasal emission constitute the most typical stigmata. Moreover, the gap between the velum and pharynx obstruct drainage of the middle ear with recurrent ear infections and increase the risk of developing conductive ear loss.

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