Prospective evaluation of the outcome of velopharyngeal insufficiency therapy after pharyngeal flap, a sphincter pharyngoplasty, a double Z-plasty and simultaneous Orticochea and Furlow operations.

Between 2001 and 2006 treated 84 patients with VPI. The patients were qualified for pharyngeal flap, Orticochea and Furlow's operations. Since 2007-2009 there were 22 consecutive patients who were qualified for Orticochea and Furlow operations performed at the same operation-stage. The best results were obtained by using Orticochea and Furlow operations.