Early two-stage palatoplasty using modified Furlow's veloplasty

To achieve sufficient velopharyngeal function and maxillary growth for patients with unilateral cleft lip and palate (UCLP), the authors have designed a new treatment protocol for palate closure involving early two-stage palatoplasty with modified Furlow veloplasty. Details of the surgical protocol...

Full description

Saved in:
Bibliographic Details
Published in:The Cleft palate-craniofacial journal 2010-01, Vol.47 (1), p.73-81
Main Authors: Nishio, Juntaro, Yamanishi, Tadashi, Kohara, Hiroshi, Hirano, Yoshiko, Sako, Michiyo, Adachi, Tadafumi, Mukai, Takao, Miya, Shigenori
Format: Article
Language:English
Subjects:
Child, Preschool
Cleft Lip - surgery
Cleft Palate - surgery
Dentistry
Female
Humans
Infant
Male
Malocclusion - prevention & control
Maxilla - growth & development
Maxillofacial Development
Oral Surgical Procedures - methods
Palate, Hard - surgery
Palate, Soft - surgery
Reconstructive Surgical Procedures - methods
Retrospective Studies
Time Factors
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To achieve sufficient velopharyngeal function and maxillary growth for patients with unilateral cleft lip and palate (UCLP), the authors have designed a new treatment protocol for palate closure involving early two-stage palatoplasty with modified Furlow veloplasty. Details of the surgical protocol and the outcomes of the dental occlusion of patients at 4 years of age are presented. This was an institutional retrospective study. Seventy-two UCLP patients were divided into two groups based on their treatment protocols: patients treated using the early two-stage palatoplasty protocol (ETS group; n = 30) and patients treated using Wardill-Kilner pushback palatoplasty performed at 1 year of age (PB group; n = 42). The features of the ETS protocol are as follows: The soft palate is repaired at 12 months of age using a modified Furlow technique. The residual cleft in the hard palate is closed at 18 months of age.Lip repair is carried out at 3 months of age with a modified Millard technique for all subjects. The ETS group showed a significantly better occlusal condition than the PB group.The incidence of normal occlusion at the non-cleft side central incisor was 7.1% in the PB group; whereas, it was 66.7% in the ETS group. The results indicate that the early two-stage protocol is advantageous for UCLP children in attaining better dental occlusion at 4 years of age.
ISSN:1055-6656
1545-1569
DOI:10.1597/08-067