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    Velopharyngeal insufficiency is treated with a combination of surgery and speech therapy. There are several surgical procedures that can be performed to correct the physical malfunction. They include:

    • Pharyngeal flap procedure that moves the skin flap from the pharynx to the soft palate.
    • Palatal push-back that separates the hard and soft palate in order to lengthen the soft palate.
    • Pharyngoplasty that lengthens the soft palate by turning the pharyngeal skin flaps.
    • Augmentation pharyngoplasty that inserts an implant into the pharyngeal wall to enlarge it, thus narrowing the velopharyngeal opening.
    • Velopharyngeal sphincter reconstruction.

    Source: The Gale Group. Gale Encyclopedia of Medicine, 3rd ed.";

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