What is Furlow Palatoplasty?
Furlow Palatoplasty (Double-Reversing Z-Plasty) This procedure involves a plastic surgical technique, which was traditional used for cleft palates, to lengthen and thicken the soft palate and realign abnormal placement of the palatal muscles in order to allow the palate touch the back of throat naturally.
What is a Palatoplasty in medical terms?
A palatoplasty is a surgical procedure used to correct or reconstruct the PALATE in a person with a CLEFT PALATE. The basic goals of this surgery are to: Close the abnormal opening between the nose and mouth. Help the patient to develop normal speech.
What is a submucous cleft palate?
A submucous cleft palate (SMCP) results from a lack of normal fusion of the muscles within the soft palate as the baby is developing in utero. It occurs in about 1 in 1,200 children. There is no single cause of SMCP, but current research suggests a combination of genetic and environmental factors.
Does submucous cleft palate need surgery?
The problems caused by a submucous cleft palate vary from child to child. Some can have speech problems and many ear infections, while others have no symptoms or speech problems. Children with submucous cleft palate fall into one of these four categories: No surgical repair needed, no speech therapy needed.
How is velopharyngeal insufficiency treated?
Treatment of velopharyngeal insufficiency consists of speech therapy and surgical correction by a palatal elongation pushback procedure, posterior pharyngeal wall implant, pharyngeal flap, or pharyngoplasty, depending on the mobility of the lateral pharyngeal walls, the degree of velar elevation, and the size of the …
When do you do palatoplasty?
However there is general agreement that palatoplasty (soft palate at least) should be performed between 6-12 months of age.
What tool is used for palatoplasty?
Suspension palatoplasty was performed under general anesthesia with oral endotracheal intubation. Patients had their heads extended and an adequately size of mouth gag was used to expose the oropharynx. Surgical tool used for tissue dissection and hemostasis was plasma knife (model: cutting-4, coagulation-6).
What are signs of submucous cleft?
What Are the Signs & Symptoms of a Submucous Cleft Palate?
- trouble feeding as an infant (taking a long time to feed, liquid coming through the nose, etc.)
- chronic ear infections and effusions (fluid buildup behind the eardrum)
- speech sound errors.
- speech problems that make the child hard to understand.
What is Furlow’s palatoplasty?
Furlow’s palatoplasty was initially done in cases of soft palates and narrow unilateral clefts. As surgical expertise and confidence increased Furlow’s technique was used for wide bilateral clefts. Exceptions are children presenting for surgery over the age of five years when a primary pharyngoplasty is also indicated.
What are the disadvantages of the Furlow’s double opposing z-plasty?
The major drawbacks of standard procedures of palatoplasty have been inadequate palatal lengthening, velopharyngeal incompetence, impaired maxillary growth with mid-face retrusion and high fistula rates. The Furlow’s double opposing Z-plasty is accepted as one of the better procedures for treating cleft palates.
What are the disadvantages of palatoplasty?
The major drawbacks of standard procedures of palatoplasty have been inadequate palatal lengthening, velopharyngeal incompetence, impaired maxillary growth with mid-face retrusion and high fistula rates. The Furlow’s double opposing Z-plasty is accepted as one of the better procedures for treating cleft palates. Methods
What is the best palatoplasty for speech therapy?
For speech outcomes, the Sommerlad and Furlow palatoplasties were more beneficial than the 2-flap palatoplasty, the Veau-Wardill-Kilner V-to-Y pushback technique, and the von Langenbeck palatoplasty. Additional randomized controlled trials are recommended to obtain evidence that can support these findings.