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Furlow palatoplasty

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https://www.readbyqxmd.com/read/27769736/cleft-relapse-and-oronasal-fistula-after-furlow-palatoplasty-in-infants-with-cleft-palate-incidence-and-risk-factors
#1
F Li, H-T Wang, Y-Y Chen, W-L Wu, J-Y Liu, J-S Hao, D-Y Luo
This study was performed to investigate the incidence of and risk factors for postoperative cleft relapse and oronasal fistula after Furlow palatoplasty in infants. Sixty-two infants with cleft palate, aged 6-12 months (mean 8.25 months), who underwent cleft repair by Furlow double opposing Z-plasty between March 2012 and August 2014, were enrolled in the study. Risk factors for postoperative cleft relapse and oronasal fistula after Furlow palatoplasty were identified by logistic regression analysis. The incidence rates of cleft relapse at 1 week and oronasal fistula at 3 months after surgery were 24...
October 18, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27711915/palatal-motion-after-primary-and-secondary-furlow-palatoplasty
#2
Pamela A Rudnicki, Christopher Tsang, Mark A Vecchiotti, Andrew R Scott
Importance: Indications for Furlow palatoplasty include primary repair of cleft palate as well as secondary repair, or secondary palatoplasty for treatment of velopharyngeal insufficiency. Speculation exists surrounding the benefit of secondary Furlow palatoplasty in cases of a previously well-reconstructed palate or a short but otherwise anatomically normal soft palate because it has been theorized that reorientation of a previously reconstructed or normal muscular levator sling should in fact worsen palatal motion...
October 6, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27618612/prospective-study-on-the-intraoperative-blood-loss-in-patients-with-cleft-palate-undergoing-furlow-s-double-opposing-z-palatoplasty
#3
Byung Jun Kim, Tae Hyun Choi, Sukwha Kim
BACKGROUND:   Blood loss during cleft palate surgery has been investigated in previous research, but there is no report regarding blood loss when performing Furlow's double opposing Z-plasty (DOZ). In the present study, we evaluated intraoperative blood loss in patients with cleft palate who underwent the DOZ procedure. MATERIALS AND METHODS:   Intraoperative blood loss was prospectively investigated in 59 patients undergoing palatoplasty with DOZ by a single surgeon between August 2012 and July 2013...
September 12, 2016: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/27533493/resolution-of-otitis-media-with-effusion-in-children-with-cleft-palate-followed-through-five-years-of-age
#4
Cuneyt M Alper, Joseph E Losee, James T Seroky, Ellen M Mandel, Beverly C Richert, William J Doyle
OBJECTIVE: To describe the temporal pattern of otitis media with effusion (OME) resolution for a cohort of nonsyndromic cleft palate children enrolled before palatoplasty and followed through 5 years of age. DESIGN: This is a prospective, longitudinal study of the time course for OME resolution in infants and children with palatal clefts. SETTING: Cleft Palate Craniofacial Center of a tertiary care pediatric hospital. PARTICIPANTS: This study included 52 children with cleft palate (29 boys, 45 white, Veau 1 through 4) who had a Furlow-type palatoplasty between 10 and 24 months of age performed by one of six surgeons...
September 2016: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/27427931/size-of-velopharyngeal-structures-after-primary-palatoplasty
#5
Ana Flavia Rodrigues da Silva, Jeniffer de Cássia Rillo Dutka, Adna Maressa Pereira do Amaral, Maíra de Souza Périco, Maria Inês Pegoraro-Krook
OBJECTIVE:  To describe and compare measures of velar length, velar thickness, and depth of the nasopharynx between two groups of patients with velopharyngeal dysfunction after primary palatoplasty: one received the modified Langenbeck procedure and the other the Furlow procedure. DESIGN:  Comparative study involving a convenience sample of videofluoroscopic films established prospectively. SETTING:  Surgeries and videofluoroscopic assessments were conducted at a craniofacial center...
July 18, 2016: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/27219237/modified-furlow-palatoplasty-using-small-double-opposing-z-plasty-surgical-technique-and-outcome
#6
Kazuaki Yamaguchi, Daniel Lonic, Che-Hsiung Lee, Claudia Yun, Lun-Jou Lo
BACKGROUND: A smaller Z-plasty is applied in a modified Furlow palatoplasty. The purpose of this study was to assess its surgical and functional outcome. METHODS: The surgical technique included mucoperiosteal flap elevation in the hard palate, complete pedicle dissection and release, double-opposing Z-plasty using 5-mm limbs and muscle dissection in the soft palate, and the buccal fat pad covering lateral relaxing wounds. A retrospective chart review was conducted for 231 consecutive nonsyndromic patients undergoing modified palatoplasty from May of 2007 to December of 2014...
June 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27014542/congenital-palatal-fistula-associated-with-submucous-cleft-palate
#7
Mekonen Eshete, Liliana Camison, Fikre Abate, Taye Hailu, Yohannes Demissie, Ibrahim Mohammed, Azeez Butali, H Wolfgang Losken, Alexander M Spiess
UNLABELLED: Although cleft lip and cleft palate are among the most common congenital malformations, the presence of an isolated congenital palatal fistula along with a submucous cleft is very rare. This appears as an oval-shaped, full-thickness fenestration in the palatal midline that does not fully extend anteriorly or posteriorly, accompanied by the findings of a submucous cleft. Because of the uncommon nature of this entity, there is controversy about its etiology, diagnosis, and management...
February 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/26710044/predictors-of-success-in-furlow-palatoplasty-for-submucous-clefts-an-experience-with-91-consecutive-patients
#8
Samir Mardini, Harvey Chim, Rimante Seselgyte, Philip Kuo-Ting Chen
BACKGROUND: The aim of this study was to evaluate, through multivariate ordinal logistic regression, variables contributing to good postoperative speech outcomes following Furlow palatoplasty. METHODS: A series of 91 consecutive patients was evaluated. Variables analyzed included demographics; speech perceptual assessment; and measures on videonasopharyngoscopy and videofluoroscopy such as preoperative closure pattern, velopharyngeal gap, and lateral pharyngeal wall motion...
January 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26418795/speech-outcomes-after-clinically-indicated-posterior-pharyngeal-flap-takedown
#9
Evan B Katzel, Sameer Shakir, Sanjay Naran, Zoe MacIsaac, Liliana Camison, Matthew Greives, Jesse A Goldstein, Lorelei J Grunwaldt, Matthew D Ford, Joseph E Losee
BACKGROUND: Velopharyngeal insufficiency affects as many as one in three patients after cleft palate repair. Correction using a posterior pharyngeal flap (PPF) has been shown to improve clinical speech symptomatology; however, PPFs can be complicated by hyponasality and obstructive sleep apnea. The goal of this study was to assess if speech outcomes revert after clinically indicated PPF takedown. METHODS: The cleft-craniofacial database of the Children's Hospital of Pittsburgh at the University of Pittsburgh Medical Center was retrospectively queried to identify patients with a diagnosis of velopharyngeal insufficiency treated with PPF who ultimately required takedown...
October 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/26406555/cephalometric-outcomes-of-maxillary-expansion-and-protraction-in-patients-with-unilateral-cleft-lip-and-palate-after-two-types-of-palatoplasty
#10
Wakako Tome, Kohtaro Yashiro, Mikihiko Kogo, Takashi Yamashiro
OBJECTIVE:   To clarify the differences in the long-term effects of maxillary expansion (ME) and protraction (MP) in patients with complete unilateral cleft lip, alveolus, and palate (UCLP) undergoing two types of palatoplasty. DESIGN:   Retrospective longitudinal study. SETTING:   Institutional study. PATIENTS AND INTERVENTIONS:   Thirty-eight patients with UCLP treated at Osaka University Dental Hospital, Japan, were divided into two groups: 19 patients were treated using Wardill-Kilner push-back palatoplasty (PB), and 19 patients were treated with early two-stage palatoplasty according to the modified Furlow technique (ETS)...
September 25, 2015: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/26298622/furlow-palatoplasty-for-previously-repaired-cleft-palate-with-velopharyngeal-insufficiency
#11
Mosaad Abdel-Aziz, Ahmed Nassar, Mohammed Rashed, Nader Naguib, Abdel-Rahman El-Tahan
OBJECTIVE: Velopharyngeal insufficiency (VPI) is a common complication after cleft palate repair, it may be due to lack of levator sling reconstruction and/or palatal shortening. Furlow palatoplasty has the advantages of retro-positioning of levator palati muscles and palatal lengthening. The aim of this study was to assess the efficacy of Furlow palatoplasty in the treatment of VPI in patients who undergone previous palatoplasty. METHODS: Twenty-three children with post-palatoplasty VPI were included in the study...
October 2015: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/26298550/factors-prognostic-for-phonetic-development-after-cleft-palate-repair
#12
Joon Seok Lee, Jae Bong Kim, Jeong Woo Lee, Jung Dug Yang, Ho Yun Chung, Byung Chae Cho, Kang Young Choi
BACKGROUND: Palatoplasty is aimed to achieve normal speech, improve food intake, and ensure successful maxillary growth. However, the velopharyngeal function is harder to control than other functions. Therefore, many studies on the prognostic factor of velopharyngeal insufficiency have been conducted. This study aimed to evaluate the relationships between speech outcomes and multimodality based on intraoral and preoperative three-dimensional computerized tomographic (CT) findings. METHODS: Among 73 children with cleft palate who underwent palatoplasty between April 2011 and August 2014 at Kyungpook National University Hospital (KNUH), 27 were retrospectively evaluated...
October 2015: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/26253843/use-of-a-modified-furlow-z-plasty-as-a-secondary-cleft-palate-repair-procedure-to-reduce-velopharyngeal-insufficiency
#13
R R Reddy, S G Reddy, B Banala, E Bronkhorst, A W Kummer, A M Kuijpers-Jagtman, S J Bergé
Cleft palate repair is done to allow for normal speech by separating the oral and nasal cavities and creating a functioning velopharyngeal valve. However, despite cleft palate repair, some patients demonstrate velopharyngeal insufficiency (VPI). An attempt was made to determine the effectiveness of a modified secondary Furlow Z-plasty in improving VPI. Fifty-five children aged between 12 and 15 years, with postoperative VPI following primary palatoplasty, were included in the study. These children underwent a modified Furlow Z-plasty...
February 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26240670/timing-of-tympanostomy-tube-placement-and-efficacy-of-palatoplasty-technique-on-the-resolution-of-chronic-otitis-media-a-cross-sectional-analysis
#14
M S Brgoch, K M Dodson, T C Kim, D M Kim, R Trivelpiece, J L Rhodes
BACKGROUND: Chronic otitis media with effusion is a persistent complication essentially universal in children with cleft palate. The prevalence of chronic otitis media with effusion is hypothesized to be a result of Eustachian tube dysfunction secondary to the anomalous insertion of the palatal musculature. This study was designed to evaluate the timing of tympanostomy tube placement and the effect of primary palatoplasty technique on the recovery of Eustachian tube function and resolution of chronic otitis media with effusion...
2015: Eplasty
https://www.readbyqxmd.com/read/26124262/change-in-quality-of-life-with-velopharyngeal-insufficiency-surgery
#15
Jonathan R Skirko, Edward M Weaver, Jonathan A Perkins, Sara Kinter, Linda Eblen, Julie Martina, Kathleen C Y Sie
OBJECTIVES: (1) To define the minimal clinically important difference (MCID) of the Velopharyngeal Insufficiency (VPI) Effects on Life Outcomes (VELO) instrument, and (2) to test for the change in quality of life (QOL) after VPI surgery. STUDY DESIGN: Prospective observational cohort. SETTING: VPI clinic at a tertiary pediatric medical center. SUBJECTS AND METHODS: Children with VPI and their parents completed the VELO instrument (higher score is better QOL) at enrollment and then underwent VPI surgery (Furlow palatoplasty or sphincter pharyngoplasty, n = 32), other treatments (obturator or oronasal fistula repair, n = 7), or no treatment (n = 18)...
November 2015: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/25885197/assessment-of-speech-nasality-in-children-with-robin-sequence
#16
Rosana Prado-Oliveira, Ilza Lazarini Marques, Luiz de Souza, Telma Vidoto de Souza-Brosco, Jeniffer de Cássia Rillo Dutka
PURPOSE: To report the outcomes of primary palatoplasty in Robin Sequence (RS); to verify the relationship between modalities of assessment of nasality; to compare nasality between techniques at palatoplasty. METHODS: This study involved the identification of hypernasality in four modalities: live assessment with 4-point scale; live assessment with cul-de-sac test; multiple listeners' ratings of recorded phrase; nasometric assessment. Live ratings of speech nasality and nasalance scores were retrieved from charts, while a recorded phrase was rated by listeners for occurrence of hypernasality...
January 2015: CoDAS
https://www.readbyqxmd.com/read/25778874/maxillary-growth-after-maxillary-protraction-appliance-in-conjunction-with-presurgical-orthopedics-gingivoperiosteoplasty-and-furlow-palatoplasty-for-complete-bilateral-cleft-lip-and-palate-patients-with-protruded-premaxilla
#17
Shinji Kobayashi, Takashi Hirakawa, Toshihiko Fukawa, Jiro Maegawa
BACKGROUND AND AIMS: In bilateral cleft lip and palate (BCLP) with premaxillary protrusion, a good outcome with adequate maxillary development is difficult to achieve. The purpose of this article is to evaluate the maxillary growth after using presurgical orthopedics (PSO), gingivoperiosteoplasty (GPP), Furlow palatoplasty, and maxillary protraction appliance (MPA) for BCLP with premaxillary protrusion. PATIENTS AND METHODS: Seven patients with complete BCLP with premaxillary protrusion were treated by PSO, cheiloplasty, GPP, and Furlow palatoplasty...
June 2015: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/25733234/furlow-double-opposing-z-plasty
#18
Nikhila Raol, Christopher J Hartnick
First described in 1978 by Furlow for the repair of a cleft soft palate, the double-opposing z-plasty, also known as the Furlow palatoplasty, is an excellent procedure for repairing a submucous cleft. It is also useful in patients with touch closure who simply need lengthening of the soft palate and as an option for patients with anomalous carotid vasculature where pharyngeal flaps and sphincter pharyngoplasty are precarious. The primary aims of this chapter are to provide the clinician with indications for when to consider utilizing the Furlow palatoplasty and to give a stepwise description of how to perform the procedure...
2015: Advances in Oto-rhino-laryngology
https://www.readbyqxmd.com/read/25535457/influence-of-preoperative-velar-closing-ratio-and-lateral-wall-movement-on-outcomes-of-furlow-palatoplasty-for-velopharyngeal-incompetence
#19
Arshad R Muzaffar, Gale Rice, Bradley Hubbard, Elizabeth Killion
Currently, there is no consensus regarding how to determine the optimal surgical procedure for a patient with velopharyngeal incompetence (VPI) post-primary palate repair. The purpose of the present study was to assess the effect of preoperative velar closing ratio (VCR) and lateral wall movement (LWM) on nasal emission and hypernasality after Furlow double-opposing Z-plasty. A retrospective analysis involving patients with VPI post-primary palatoplasty whose VPI was treated with double-opposing Z-plasty by a single surgeon was performed...
2014: Plastic Surgery
https://www.readbyqxmd.com/read/25468463/long-term-speech-outcomes-following-late-cleft-palate-repair-using-the-modified-furlow-technique
#20
Christina M Pasick, Paul L Shay, Carrie A Stransky, Cynthia B Solot, Marilyn A Cohen, Oksana A Jackson
OBJECTIVES: Published reports and previous studies from our institution have reported worse overall speech results, including significantly higher rates of persistent articulation errors, in patients undergoing palatoplasty at age >18 months. This study further investigates the effects of late repair on long term speech outcomes. METHODS: A retrospective review was performed of non-syndromic patients undergoing primary palatoplasty at age >18 months between 1980 and 2006 at our institution...
December 2014: International Journal of Pediatric Otorhinolaryngology
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