Successful Pharyngoplasty After Le Fort I Advancement In A Severely Neglected Cleft Lip And Palate Patient

Background: When indicated, velopharyngeal insufficiency (VPI) is treated with pharyngoplasty consideration of patient’s age. Several studies have evaluated the relationship between age at surgery and speech outcome. The best results regarding reduction open nasality were obtained when surgeries performed around 5 to 6 years operative complications also less frequent in younger group than older patients. Pre-operative assessment such as nasopharyngoscopy and/or videofluoroscopy gives surgeons a chance estimate flap dimension correct defect causing VPI. Moreover, velopharyngoplasty proceeded therapy yields better recovery.Case History : A seriously neglected case cleft lip palate was reported. 24 old female underwent two palatorrhaphy 13 14 old, which far beyond recommended 10 – 12 months. resulting hypernasality further worsened by absence should been followed from 1 4 old. On presentation, this patient requested immediate orthognatic repair his severe type 3 facial profile malocclusion, procedure he worsening We decided surgically Nasoendoscopic revealed had an antero-posterior closure problem indicated using superiorlybased pharyngeal flap. Three months post-operatively re-evaluated therapist nasoendoscopically. Despite imperfectness, significant improvement achieved.Conclusion Pharyngoplasty could still be reliable certain extent correction treatment VPI case. posterior helped recover capacity.