The double-reversing Z-plasty in primary palatoplasty: Operative experience and early results

Bruce B. Horswell, Charles L. Castiglione, Andrew E. Poole, Leon A. Assael

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

The double-reversing Z-plasty of Furlow for closure of the soft palate was used in 34 children with various types of cleft palate. Mean age at repair was 12.8 months. Intraoperative experience was favorable, with acceptable operating time and blood loss. Length of hospitalization averaged 1.9 days. Postoperatively, two children experienced temporary stridor, which resolved within 24 to 48 hours. One child had dehiscence of the hard palate (Von Lagenbeck repair) 4 weeks postoperatively, and three children developed small oronasal fistulae. Early speech evaluation demonstrated adequate soft palate mobility in 33 of 34 patients, with observable velopharyngeal function. Twelve children had mild velar compromise, with eight exhibiting slight nasal air escape.

Original languageEnglish (US)
Pages (from-to)145-149
Number of pages5
JournalJournal of Oral and Maxillofacial Surgery
Volume51
Issue number2
DOIs
StatePublished - Jan 1 1993

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