Cleft Palate Repair Using a Double Opposing Z-Plasty. Issue 5 (July 2016)

• Record Type: Journal Article
• Authors: Moores, Craig; Shah, Ajul; Steinbacher, Derek M.
• Is Part Of: Journal of craniofacial surgery. Volume 27:Issue 5(2016)
• Page Start: e444
• Page End: e445
• Publication Date: 2016-07
• Subjects: Cleft palate -- double opposing Z-plasty -- Furlow -- velopharyngeal function -- von Langenbeck; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000002751
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Supplemental Digital Content is available in the text Abstract : Abstract: Cleft palate is a common congenital defect with several described surgical repairs. The most successful treatment modality remains a controversy. The goals of repair focus on achievement of normal speech and optimizing velopharyngeal function while minimizing both fistula formation and facial growth restriction. In this video, the authors demonstrate use of the double opposing Z-plasty technique in the repair of a Veau II type cleft palate. The video demonstrates the marking, incisions, dissection, and repair of the cleft. It also examines the use of von Langenbeck-type relaxing incisions and demonstrates a specific approach to the repair of this particular cleft. The authors believe that the Furlow double opposing Z-plasty with the von Langenbeck relaxing incision can provide the best postoperative outcome by combining the benefits of each individual operation. The Z-plasty technique works to correct the aberrant muscle of the soft palate while increasing the length of the palate. The authors believe that this results in better velopharyngeal function.