Vello Pharyngeal insufficiency due to palatal palsy along with adenoid hypertrophy

If there is Vello Pharyngeal insufficiency due to palatal palsy along with adenoid hypertrophy…in this case maam what will be the treatment strategy??Maam cleft palate can be surgically managed…but in this case how to treat?

The cleft palate will be corrected first . Adenoidectomy will be done on a later date

maam but if there is palsy due to Vagus…then what will be the management?