OBJECTIVE: To evaluate the efficacy of Furlow's double reversing z-plasty (Furlow) versus intravelar veloplasty with longitudinal closure including palatal muscle reorientation (IVV). DESIGN: Retrospective, single-institution, single-surgeon comparison. PATIENTS: One hundred nineteen consecutive cleft palate patients were enrolled; 34 syndromic and 9 language-impaired patients were removed from speech and reoperation analysis. Furlow and IVV groups were similar with respect to sex and mean age at primary repair. INTERVENTIONS: One surgeon performed all surgery and one of two speech pathologists conducted language and speech evaluations at 3 years of age without prior knowledge of the surgical technique utilized. OUTCOME MEASURES: Outcome measures included frequency of palatal fistulae, speech abnormalities, and need for secondary pharyngoplasty procedures. RESULTS: Patients who had undergone IVV demonstrated a 34% higher incidence of hoarseness, nasal escape, and hypernasality at 3 years of age than did Furlow patients. These same patients likewise required significantly more secondary pharyngoplasty procedures. No significant difference was noted between fistulae frequencies. CONCLUSIONS: These findings suggest that Furlow palatoplasty may provide a better clinical outcome than intravelar veloplasty.
OBJECTIVE: To evaluate the efficacy of Furlow's double reversing z-plasty (Furlow) versus intravelar veloplasty with longitudinal closure including palatal muscle reorientation (IVV). DESIGN: Retrospective, single-institution, single-surgeon comparison. PATIENTS: One hundred nineteen consecutive cleft palatepatients were enrolled; 34 syndromic and 9 language-impairedpatients were removed from speech and reoperation analysis. Furlow and IVV groups were similar with respect to sex and mean age at primary repair. INTERVENTIONS: One surgeon performed all surgery and one of two speech pathologists conducted language and speech evaluations at 3 years of age without prior knowledge of the surgical technique utilized. OUTCOME MEASURES: Outcome measures included frequency of palatal fistulae, speech abnormalities, and need for secondary pharyngoplasty procedures. RESULTS:Patients who had undergone IVV demonstrated a 34% higher incidence of hoarseness, nasal escape, and hypernasality at 3 years of age than did Furlow patients. These same patients likewise required significantly more secondary pharyngoplasty procedures. No significant difference was noted between fistulae frequencies. CONCLUSIONS: These findings suggest that Furlow palatoplasty may provide a better clinical outcome than intravelar veloplasty.
Authors: Patrick J Antonelli; José C Jorge; Mariza R Feniman; Sílvia H A Piazentin-Penna; Jeniffer C R Dutka-Souza; M Brent Seagle; William N Williams; John A Nackashi; Steve Boggs; Maria I G Graciano; Telma V Souza; José S M Neto; Luis A Garla; Marcos L N Silva; Ilza L Marques; Hilton C Borgo; Angela P M C Martinelli; Jonathan J Shuster; Maria C M Pimentel; Maria C Zimmermann; Cristina G A Bento-Gonçalves; F Joseph Kemker; Susan P McGorray; Maria I Pegoraro-Krook Journal: Cleft Palate Craniofac J Date: 2010-06-10
Authors: Michael C Hanes; Jeffrey Weinzweig; Kip E Panter; W Thomas McClellan; Stefanie A Caterson; Steven R Buchman; John A Faulkner; Deborah Yu; Paul S Cederna; Lisa M Larkin Journal: Ann Plast Surg Date: 2008-02 Impact factor: 1.539