Modificación en el colgajo retrofaríngeo en insuficiencia velofaríngea con fístula palatina refractaria

Abstract

Introduction: Velopharyngeal dysfunction (VPD) refers to any situation in which an individual is unable to completely close the nasal airway during speech. Case report: Male of 16 years, lip and cleft palate post operated, with a velopharingeal dysfunction and a cleft fistula. We covered by an incision closing the middle line, with a satisfactory evolution. Conclusions: The goal of surgical intervention is to produce or restore velopharyngeal competence while avoiding the complications of upper airway obstruction. Dysfunction velopharyngeal is the most frequent cause of nasal voice, and most of them have anterior palate fistula, the posterior retropharingeal flap is the best surgical option.