Correction of lateral port stenosis following a pharyngeal flap operation.

We report a case in which repair of a cleft of the secondary palate subsequently separated. A pharyngeal flap failed to provide capability for velopharyngeal closure and required revision. The revision was not successful because of scar contracture obstruction of the lateral ports by tonsillar tissue. The problem of scar contracture was eventually solved with a specially constructed prosthesis. The management of each of these complications is discussed.