Prospective Clinical Trial Comparing Outcome Measures Between Furlow and von Langenbeck Palatoplasties for UCLP

• DOI: 10.1097/sap.0b013e3181d60763
• Publication Date: 2010-11-01T07:25:07Z
• Authors: William N. Williams; M. Brent Seagle; Maria Ines Pegora...; Telma V. Souza; Luis Garla; Marcos L. Silva; José S. Machado Neto; Jeniffer C. R. Dutka; John Nackashi; Steve Boggs; Jonathan Shuster; Jacquelyn Moorhead; William Wharton; Maria I. G. Graciano; Maria C. Pimentel; Mariza Feniman; Silvia H. A. Piaz...; Joseph Kemker; Maria C. Zimmermann; Cristina Bento-Go...; Hilton Borgo; Ilza L. Marques; Angela P. M. C. M...; José C. Jorge; Patrick Antonelli; Josiane F. A. Neves; Melina E. Whitaker
• Keywords: Palatoplasty; Pharyngeal flap

The goal of this prospective randomized clinical trial was to compare 2 cohorts standardized cleft patients with regard functional speech outcome and the presence or absence palatal fistulae. are undergo either a conventional von Langenbeck repair intravelar velarplasty double-opposing Z-plasty Furlow procedure. A × factorial used in which each subject randomly assigned 1 8 different groups: lip repairs (Spina vs. Millard), (von Furlow), ages at time surgery (9-12 months 15-18 months). All surgeries were performed by same 4 surgeons. cul-de-sac test hypernasality mirror nasal air emission selected as primary measures for velopharyngeal function. Both surgeon pathologist examined In study, Z-palatoplasty resulted significantly better function than procedure determined perceptual hypernasality. Fistula occurrence higher Langenbeck. Fistulas more likely occur wider clefts when relaxing incisions not used.