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Persistent velopharyngeal insufficiency (VPI) following primary palatoplasty has traditionally been treated with pharyngoplasty; however, the procedure is not without complications. Madeleine K. Bruce and her co-authors from the Department of Plastic Surgery @pittplasticsurgery at UPMC Children’s Hospital of Pittsburgh evaluated speech outcomes following revision palatoplasty with tissue augmentation using buccal myomucosal flaps as an alternative to pharyngoplasty for patients with VPI. She and her co-authors found in patients with VPI following primary palatoplasty, revision palatoplasty with tissue augmentation offers an alternative to pharyngoplasty. This approach preserves dynamic velopharyngeal function, improves speech outcomes, and should be considered an option when treating patients with post-primary palatoplasty VPI. Tissue Augmenting Palatoplasty for Salvage of Speech in Secondary Palate Repair Madeleine K. Bruce, BA; Erin Anstadt, MD; Wendy Chen, MD; Sean Herman, MD; Fady Paul Marji, MD; Miles J. Pfaff, MD, MHS; Matthew Ford, CCC-SLP; Jesse A. Goldstein, MD @jessegoldsteinmd; Joseph E. Losee, MD Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA

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