Evaluation of postoperative outcomes in palatoplasty with three soft palate cleft repairs

The aim of this study was to compare the postoperative clinical and functional outcomes of palatoplasty with three soft palate cleft repairs and analyse the factors potentially impacting these outcomes. A retrospective analysis was conducted on a consecutive series of 337 patients who underwent prim...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2024-08, Vol.53 (8), p.677-685
Main Authors: Sakran, K.A., Huang, H., Al-Moraissi, E., Elayah, S.A., Younis, H., Li, Y., Shi, B.
Format: Article
Language:English
Subjects:
Cleft palate
Clinical study
Oral fistula
Reconstructive surgical procedure
Velopharyngeal insufficiency
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Summary:The aim of this study was to compare the postoperative clinical and functional outcomes of palatoplasty with three soft palate cleft repairs and analyse the factors potentially impacting these outcomes. A retrospective analysis was conducted on a consecutive series of 337 patients who underwent primary cleft palate repair by palatoplasty modified with either Furlow Z-plasty (P-FZP, n = 77), intravelar veloplasty (P-IVV, n = 110), or combined intravelar veloplasty–Furlow Z-plasty (P-IVV-FZP, n = 150). The postoperative outcomes evaluated included wound healing (complete closure/fistula) and velopharyngeal function. Demographic and surgical data were analysed using both univariate and multivariate analysis. There was no significant difference between the groups with regard to the sex distribution, age at repair, cleft width, cleft type, or follow-up duration. However, relaxing incisions were significantly more common with P-FZP (26.0%) and P-IVV (29.1%) compared to P-IVV-FZP (10%) (P = 0.002 and
ISSN:0901-5027
1399-0020
1399-0020
DOI:10.1016/j.ijom.2024.01.012