Abstract
Diminished nasal airway problems, such as snoring, dry mouth from mouth breathing, and obstructive sleep apnea, which occurred in our patients after pharyngeal flap procedures, led us first to use the Orticochea pharyngoplasty. Because of continued dissatisfaction with speech results, we then modified it to a procedure more akin to the Hynes pharyngoplasty, which we have used as the exclusive surgical treatment of all patients with VPI for the last 11 years. Two groups of patients who have undergone this operation have been studied, the first (51 patients) in a retrospective study and the second (18 patients) in a prospective study. The procedure has been easy to perform, beset with a minimal number of complications, and easy to revise. The velopharyngeal competency rate has been high, and postoperative airway restriction has not been a problem.
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