Conversion Furlow palatoplasty: salvage of speech after straight-line palatoplasty and "incomplete intravelar veloplasty"

Annals of Plastic Surgery
Negin NoorchashmJoseph E Losee

Abstract

The straight-line palatoplasty with intravelar veloplasty (IVVP) is one option for cleft palate repair. However, not all IVVPs are performed uniformly. Many IVVPs only address the medialmost portion of the levator muscle, an "incomplete IVVP," failing to completely dissect and adequately transpose the entire levator muscle, "complete IVVP." We believe that for optimal speech results, IVVPs should completely mobilize and posteriorly displace the levator. We propose that a conversion Furlow palatoplasty performed with a "complete IVVP" will correct postoperative velopharyngeal insufficiency (VPI) and alleviate the need for pharyngoplasty. Nineteen patients with postoperative VPI, having had prior straight-line palatoplasty and reported "IVVP," underwent conversion Furlow palatoplasty. Those with a pre- and postoperative Pittsburgh Weighted Speech Scale (PWSS) value and no other history of palatal surgeries were included in this study. Statistical analysis was performed by using the Wilcoxon signed ranks test. Patients' median age was 5.5 years (range, 4-15 years), with 13 males and 7 females. The median preoperative PWSS score was 11.00 (range, 3-24.5), and the median postoperative was 1.00 (range, 0-5) (P < 0.001). All subcatego...Continue Reading

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Citations

May 27, 2010·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·F J SheerS N Ghadiali
Oct 4, 2011·Organogenesis·Benjamin LeviDerrick C Wan
Aug 25, 2015·International Journal of Pediatric Otorhinolaryngology·Mosaad Abdel-AzizAbdel-Rahman El-Tahan
Jan 11, 2014·CoDAS·Daniela Aparecida BarbosaRenata Paciello Yamashita
Jul 29, 2016·Plastic and Reconstructive Surgery·Kazuaki YamaguchiLun-Jou Lo
Feb 20, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Nicole M KurnikThomas J Sitzman
Mar 14, 2014·The Journal of Craniofacial Surgery·Harry S NayarLorelei J Grunwaldt
Aug 18, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Hailey M PedersenSusan L Thibeault
Oct 28, 2019·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Amber D ShafferNoel Jabbour
Sep 30, 2015·Annals of Plastic Surgery·Evan B KatzelJoseph E Losee
Jul 22, 2016·Annals of Plastic Surgery·Paul Luther ShayOksana A Jackson
Nov 26, 2020·Plastic and Reconstructive Surgery·Katelyn G MakarChristian J Vercler
May 19, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Alison KayeKathryn Dent
Aug 18, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Krishnamurthy BonanthayaPritham N Shetty
Nov 18, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Erin E AnstadtJoseph E Losee

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