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Master of Surgery Video Presentation

Pediatric Otolaryngology

Pharyngeal Flap for Velopharyngeal Dysfunction

Sunday, October 18, 2026
1:21 PM - 1:28 PM PT
Location: West Exhibit Hall A, Learning Zone 1

    Panelist(s)

  • MR

    Miller Anderson Richmond, MD

    Resident Physician
    Georgetown University Hospital
    Washington, District of Columbia, United States

  • JL

    James Leonard, MD

    Pediatric Otolaryngologist
    Children's National Hospital, District of Columbia, United States

    • Moderator(s)

  • Diego A. Preciado, MD, PhD

    Division Chief
    Children's National Department of Otolaryngology
    Washington, DC, United States

Velopharyngeal dysfunction (VPD) is a rare condition that may result in persistent hypernasality and impaired speech when conservative management fails. Surgical correction is indicated in select cases to restore velopharyngeal competence.

This video demonstrates a superiorly based pharyngeal flap performed in a 5-year-old female with symptomatic VPD. Preoperative evaluation confirmed persistent dysfunction despite appropriate speech therapy. This video highlights key steps of the procedure, including flap design, elevation, inset, and intraoperative considerations for optimizing velopharyngeal closure.

The goal of this presentation is to provide otolaryngologists with a concise, practical visual overview of pharyngeal flap surgery for VPD.