Velopharyngeal insufficiency treated with levator muscle repositioning and unilateral myomucosal buccinator flap

Velopharyngeal insufficiency (VPI) is common (20−30%) after cleft palate closure. The myomucosal buccinator flap has become an important treatment option for velopharyngeal insufficiency; however, published studies all use bilateral buccinator flaps. This study assesses outcomes with a unilateral myomucosal buccinator flap that might result in less operating time and might prevent the need of a bite block and an extra procedure for division of the flap pedicle at a later stage.

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