BIOMAT Database Logo BIOMAT Database Logo

Comparison of two-flap palatoplasty plus intravelar veloplasty technique with and without double-layer Z-plasty on the soft palate length in children with cleft palate. 2020

Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
Department of Otorhinolaryngology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

OBJECTIVE Velopharyngeal failure occurs as a result of a nasopharyngeal gap following inadequate velopharyngeal closure for structural or functional cause. We aimed to compare the soft palate length in two-flap palatoplasty with intravelar veloplasty (IVV) and two-flap palatoplasty with IVV plus double-layer Z-plasty combination in patients with cleft palate. METHODS This clinical trial was conducted on infants aged 9 to 12 months with cleft palate in two groups. The method of two-flap palatoplasty with IVV technique and two-flap palatoplasty with IVV plus double-layer Z-plasty was compared in terms of soft palate length which was measured during operation and short-term complications. RESULTS This study was conducted on 62 infants including 30 patients in two-flap palatoplasty with IVV group and 32 patients in two-flap palatoplasty with IVV plus double-layer Z-plasty group. The soft palate length in two-flap palatoplasty and IVV with and without Z-plasty groups before surgery was 17.56 ± 2.05 and 17.68 ± 1.88 mm, respectively (P = 0.561). After surgery, the soft palate length was significantly higher in two-flap palatoplasty with IVV plus Z-plasty group (22.43 ± 2.73 mm vs. 20.56 ± 2.42 mm) (P = 0.032). CONCLUSIONS The two-flap palatoplasty with IVV plus Z-plasty technique is a suitable method for increasing the palatal length in infants with cleft palate. On the other hand, the addition of Z-plasty method could increase the length of the palate. Moreover, the complications are very low and further trials for development of this method on patients with cleft palate are recommended. IRCT2017032423559N11.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D010160 Palate, Soft A movable fold suspended from the posterior border of the hard palate. The uvula hangs from the middle of the lower border. Velum Palatinum,Soft Palate,Palates, Soft,Palatinum, Velum
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002972 Cleft Palate Congenital fissure of the soft and/or hard palate, due to faulty fusion. Cleft Palate, Isolated,Cleft Palates,Palate, Cleft,Palates, Cleft
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014681 Velopharyngeal Insufficiency Failure of the SOFT PALATE to reach the posterior pharyngeal wall to close the opening between the oral and nasal cavities. Incomplete velopharyngeal closure is primarily related to surgeries (ADENOIDECTOMY; CLEFT PALATE) or an incompetent PALATOPHARYNGEAL SPHINCTER. It is characterized by hypernasal speech. Palatopharyngeal Incompetence,Inadequate Velopharyngeal Closure,Velopharyngeal Incompetence,Incompetence, Palatopharyngeal,Incompetence, Velopharyngeal,Insufficiency, Velopharyngeal,Velopharyngeal Closures, Inadequate
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D019651 Plastic Surgery Procedures Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures. Cosmetic Reconstructive Surgical Procedures,Cosmetic Surgical Procedures,Esthetic Reconstructive Surgical Procedures,Esthetic Surgical Procedures,Plastic Surgical Procedures,Reconstructive Surgical Procedures,Reconstructive Surgical Procedures, Cosmetic,Cosmetic Reconstructive Surgery,Procedure, Reconstructive Surgical,Procedures, Reconstructive Surgical,Reconstructive Surgical Procedure,Reconstructive Surgical Procedures, Esthetic,Surgical Procedure, Reconstructive,Surgical Procedures, Reconstructive,Cosmetic Reconstructive Surgeries,Cosmetic Surgical Procedure,Esthetic Surgical Procedure,Plastic Surgery Procedure,Plastic Surgical Procedure,Procedure, Cosmetic Surgical,Procedure, Esthetic Surgical,Procedure, Plastic Surgery,Procedure, Plastic Surgical,Procedures, Cosmetic Surgical,Procedures, Esthetic Surgical,Procedures, Plastic Surgery,Procedures, Plastic Surgical,Reconstructive Surgeries, Cosmetic,Reconstructive Surgery, Cosmetic,Surgeries, Cosmetic Reconstructive,Surgery Procedure, Plastic,Surgery Procedures, Plastic,Surgery, Cosmetic Reconstructive,Surgical Procedure, Cosmetic,Surgical Procedure, Esthetic,Surgical Procedure, Plastic,Surgical Procedures, Cosmetic,Surgical Procedures, Esthetic,Surgical Procedures, Plastic

Related Publications

Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
Palatoplasty: Furlow's double reversing Z-plasty versus intravelar veloplasty.
November 1998, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association,
Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
Comparison of Furlow's Double Opposing Z-plasty and Straight-Line Intravelar Veloplasty as Methods of Cleft Palate Repair.
January 2024, Cureus,
Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
Comparison of speech outcomes using type 2b intravelar veloplasty or furlow double-opposing Z plasty for soft palate repair of patients with unilateral cleft lip and palate.
March 2021, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery,
Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
The importance of radical intravelar veloplasty during two-flap palatoplasty.
October 2008, Plastic and reconstructive surgery,
Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
A systematic review comparing furlow double-opposing z-plasty and straight-line intravelar veloplasty methods of cleft palate repair.
May 2015, Plastic and reconstructive surgery,
Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
A systematic review comparing Furlow double-opposing Z-plasty and straight-line intravelar veloplasty methods of cleft palate repair.
November 2014, Plastic and reconstructive surgery,
Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
Comparison of the Speech Results After Correction of Submucous Cleft Palate With Furlow Palatoplasty and Pharyngeal Flap Combined With Intravelar Veloplasty.
January 2018, The Journal of craniofacial surgery,
Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
Comments on A systematic review comparing Furlow double-opposing Z-plasty and straight-line intravelar veloplasty methods of cleft palate repair: Double-opposing Z-plasty and straight-line.
July 2015, Plastic and reconstructive surgery,
Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
Reply: a systematic review comparing furlow double-opposing z-plasty and straight-line intravelar veloplasty methods of cleft palate repair.
May 2015, Plastic and reconstructive surgery,
Shahin Abdollahi Fakhim, and Masoud Nouri-Vaskeh, and Faezeh Amiri, and Nikzad Shahidi
Oral Mucosal Z-Plasty in Combination with Intravelar Veloplasty.
July 2015, Plastic and reconstructive surgery. Global open,
Copied contents to your clipboard!