Abstract
Patients with cleft palate have a 20-30% rate of developing velopharyngeal insufficiency (VPI). VPI is characterized by nasal sounding speech (hypernasality) and audible/turbulent nasal escape during speech related to inadequate functioning of the soft palate musculature. Confirmed VPI is typically managed through secondary surgery and a superiorly based pharyngeal flap is the most commonly used procedure.
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