Medial incision approach in modified small double-opposing Z-plasty for Veau II cleft repair

Denadai, Rafael; Sato, Nobuhiro; Seo, Hyung Joon; Pascasio, Dax Carlo Go; Lo, Chi-Chin; Chou, Pang-Yung; Lo, Lun-Jou

doi:10.1016/j.jcms.2024.06.005

Journal of Cranio-Maxillofacial Surgery

2024

DOI: 10.1016/j.jcms.2024.06.005

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Medial incision approach in modified small double-opposing Z-plasty for Veau II cleft repair

Rafael Denadai,

Nobuhiro Sato,

Hyung Joon Seo

et al.

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2024

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Validating the Modified Small Double Opposing Z-Plasty for Palatal Lengthening in Primary Palatoplasty

Denadai,

Lo,

Seo

et al. 2024

The Cleft Palate Craniofacial Journal

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Objective To appraise the degree of intraoperative palatal lengthening with the modified Furlow small double-opposing Z-plasty (sDOZ). Design Retrospective single-surgeon (R.D.) study. Patients Nonsyndromic children (n = 167) with Veau types I to IV cleft palates who underwent primary sDOZ palatoplasty. Interventions Intraoperative measurements of palatal lengths and widths were collected using calipers, paper rulers, and metal rulers before the administration of local anesthetic solution and before the removal of the mouth gag (initial and final palatal dimensions, respectively). Main Outcome Measures Assessment of the intraoperative percentage change (difference between final and initial values) in surface palatal length, straight palatal length, and soft palatal length. Bivariate and multivariate analyses were performed to identify independent predictors (sex, age at surgery, Veau, Kernahan/ Stark, and Randall classifications, widest cleft width, presence of lateral relaxing incision, type of coverage with buccal fat flap, and postoperative complications) of soft palatal lengthening. Results Surface palatal, straight palatal, and soft palatal lengths had an intraoperative increase of 8%, 14.7%, and 27.7%, respectively. The degree of intraoperative soft palatal lengthening significantly varied among Veau cleft types (I = II < III = IV). Veau type III and cleft lip/palate were independent positive predictors (P < .001) of soft palatal lengthening, while other tested variables were not correlated (P > .05) with this outcome. Conclusions Overall intraoperative palatal lengthening occurs with the modified sDOZ palatoplasty, with differences within the spectrum of cleft palate deformity.

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Validating the Modified Small Double Opposing Z-Plasty for Palatal Lengthening in Primary Palatoplasty

Denadai,

Lo,

Seo

et al. 2024

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

show abstract

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Medial incision approach in modified small double-opposing Z-plasty for Veau II cleft repair

Cited by 1 publication

References 50 publications

Validating the Modified Small Double Opposing Z-Plasty for Palatal Lengthening in Primary Palatoplasty

Validating the Modified Small Double Opposing Z-Plasty for Palatal Lengthening in Primary Palatoplasty

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