Submucous cleft palate: a 10-year series

Twenty-nine consecutive patients with submucous cleft palate were treated at the University of Florida during the 10-year period from 1986 to 1996. Twenty-seven patients were available for speech follow-up. The evaluation of these patients and rationale for treatment are discussed. The largest subgr...

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Bibliographic Details
Published in:	Annals of plastic surgery Vol. 42; no. 2; p. 142
Main Authors:	Seagle, M B, Patti, C S, Williams, W N, Wood, V D
Format:	Journal Article
Language:	English
Published:	United States 01-02-1999
Subjects:	Adolescent Child Child, Preschool Cleft Palate - complications Cleft Palate - epidemiology Cleft Palate - surgery Humans Infant Speech Disorders - etiology Surgical Flaps Treatment Outcome Velopharyngeal Insufficiency - etiology
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Summary:	Twenty-nine consecutive patients with submucous cleft palate were treated at the University of Florida during the 10-year period from 1986 to 1996. Twenty-seven patients were available for speech follow-up. The evaluation of these patients and rationale for treatment are discussed. The largest subgroup of patients were treated with the Furlow Z-plasty palatoplasty, which yielded a successful outcome in 15 of 18 patients, or 83%. The overall success rate was 96%. The Furlow Z-plasty palatoplasty was noted to have a very high rate of success for patients with velopharyngeal gaps of 8 mm or less, and less likelihood of success when the velopharyngeal gap exceeded 8 mm.
ISSN:	0148-7043
DOI:	10.1097/00000637-199902000-00006