Observational study examines decision-making for surgery based on quality of life in patients with velopharyngeal insufficiency, suggesting a need for better management.
Patients may not pursue additional management for hypernasality if QoL is unaffected, regardless of clinical assessment. Recurrent administration of the VELO instrument and clinical evaluation together can identify functionally limiting hypernasality that merits surgery.
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Bhaskara et al. (2026) studied this question.
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