Submucous Cleft Palate

Repair of submucous cleft palate with Furlow palatoplasty

“…Although some of their patients were relatively old, the results were optimistic; however, they carefully selected their patients according to different criteria including velopharyngeal gap size, and they commented that patients of velopharyngeal gap less than 5 mm were considered to be the best candidates for a Furlow palatoplasty. In a 10-year series, Seagle et al [22] reported a successful outcome of 83% for cases of SMCP treated with Furlow palatoplasty, they advised the technique for patients with velopharyngeal gaps of 8 mm or less. Perkins et al [12] have managed VPI of 148 consecutive patients, they found that Furlow palatoplasty resulted in speech improvement in 72% of the cases, they confirmed that the preoperative velopharyngeal gap size is a predictive factor for speech outcome as the achieved success rate of 86.8% for patients with a small gap and 33% for patients with large gap.…”

An effect comparison between Furlow double opposing Z-plasty and two-flap palatoplasty on velopharyngeal closure

“…Cheng et al 29 diagnosed complete and mildly incomplete velopharyngeal closure with a velopharyngeal gap less than 4 mm on lateral radiographs. Seagle et al, 30 thought that the Furlow Z-plasty palatoplasty was noted to have a very high rate of success for patients with velopharyngeal An effect comparison between Furlow double opposing Z-plasty and two-flap palatoplasty on velopharyngeal closure 609 in the soft palate can be avoided, so this should reduce postoperative shortening in the anteroposterior direction.…”

Treatment of persistent post-adenoidectomy velopharyngeal insufficiency by sphincter pharyngoplasty

“…This may be congenitally short or its musculature may be defective in a patient with a submucous cleft. An occult submucous cleft palate occurs when only the musculus uvulae is dehiscent and is not evident during oral examination [15], the diagnosis of such condition may be made during nasendoscopy for evaluation of VPI [16]. This disease may be overlooked by the otolaryngologist during the preoperative preparation for adenoid removal and surprisingly the patient suffered from post-adenoidectomy hypernasality.…”