Velopharyngoplasty and tonsillectomy: whether to perform them simultaneously.

Velopharyngoplasty (VPP) and tonsillectomy (TE) have been used for the surgical correction of velopharyngeal incompetence (VI) and its associated speech impairments, which include rhinolalia, rhinophonia, and nasal snorting. Performing the procedures together during the same operative session has been shown, on a limited basis, to offer some benefits to the primarily juvenile patient population. The authors report the findings noted from the performance of this operation during the past 14 years.