This article reports a case from Indonesia with velopharyngeal insufficiency caused by submucous cleft palate. This 4-year-old girl, with the chief complaint of nasal sound and congenital palate defect, underwent V-Y Pushback combined with Furlow Double-Opposing Z-Plasty technique surgery. A single operation, by combining these techniques, was performed to line up the hard and soft palate of uvula. Two weeks after surgery, there was instant phonation improvement, which was evaluated by Uji Gajah (Elephant test) used in Bahasa, Indonesia. We conclude that combined palatoplasty and veloplasty surgical techniques may provide good velopharyngeal function results.
- Furlow double-opposing Z-plasty technique
- Speech improvement
- Submucous cleft palate
- Uji gajah
- V-Y Pushback