Nasopharyngoscopic examination of the 20 patients with secondary VPI following 2 flap palatoplasty will be done for visualization of the velopharyngeal port, allowing assessment of the pattern and grade of velopharyngeal closure during speech and the presence or absence of a velopharyngeal gap and after VPI repair by Buccinator myomucosal flap with Furlow palatoplasty

Inclusion Criteria:

• 5-6 years old children with previous treated complete cleft palate with 2 flap palatoplasty technique, nonsyndromic.
• lip and palate repair performed by one craniofacial surgeon

Exclusion Criteria:

• Patients with syndromic cleft lip.
• Bilateral cleft lip
• Patient older younger 5 years.
• Associated Cardiac anomalies.
• Any systemic condition