Modification in the Retropharyngeal Flap for Velopharyngeal Insufficiency with a Refractory Palate Fistula: Case Report

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 velopharyngeal dysfunction and a fistula. We covered by an incision closing the middle line, with a satisfactory evolution. Discussion: The goal of surgical intervention is to produce or restore velopharyngeal competence while avoiding the complications of upper airway obstruction. Conclusion: Dysfunction velopharyngeal is the most frequent cause of hyper nasal speech, and most of them have anterior palate fistula, the posterior retropharyngeal flap is one of the one of the best post-surgical evolution.