Cleft afflicted individuals may have hypernasality or a nasal sounding speech. This condition is called velopharyngeal incompetence or VPI and occurs due to escape of air through the nose while speaking. Maxillofacial Surgeon Dr. S.M. Balaji performed a dynamic sphincter pharyngoplasty for VPI correction. Palatopharyngeus myomucosal flaps were raised from both sides, criss-crossed and rearranged leaving a small opening or “port” for breathing through the nose.
Positive suction test following sphincter pharyngoplasty shows new dynamic velopharyngeal sphincter action indicating successful correction of velopharyngeal incompetence.