Cleft palate repair by Furlow double opposing Z-plasty. II. Speech results and effects on maxillary growth.

DOI 5 Citations 7 References
  • ONO Kazuhiro
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Niigata University
  • OHASHI Yasushi
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Niigata University
  • KANNARI Yoji
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Niigata University
  • ISONO Shinsaku
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Niigata University

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Other Title
  • Ｆｕｒｌｏｗ法による口蓋形成術　第２報　鼻咽腔閉鎖機能ならびに顎発育への影響について
  • II. Speech results and effects on maxillary growth
  • 第2報: 鼻咽腔閉鎖機能ならびに顎発育への影響について

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Abstract

Cleft palate repair by Furlow double opposing Z-plasty was performed in 31 patients between 1990 and 1994. Speech results and effects on maxillary growth following Furlow palatoplasty were investigated and compared with the pushback procedure. Twentyseven patients undergoing pushback palatoplasty, performed by the same surgeon during the same period, served as controls.<BR>1. Twenty-two patients in the Furlow group and 15 patients in the pushback group were old enough to permit speech evaluation. Mean ages at palatoplasty in the Furlow group and the pushback group were 2.4 years and 2.1 years, respectively. There were no differences between the groups in the distribution of type of cleft or age at palatoplasty. Mean ages at speech evaluation in the Furlow group and the pushback group were 4.1 years and 4.5 years, respectively. Twenty of the 22 patients in the Furlow group had no evidence of velopharyngeal insufficiency, while one had mild and the other moderate to severe insufficiency. Twelve of the 15 patients in the pushback group had no evidence of velopharyngeal insufficiency, while one had mild and two had moderate to severe insufficiency. No significant difference was found between the two groups, and the early speech results were encouraging.<BR>2. Effects on maxillary growth following cleft palate repair were evaluated by the presence or absence of crossbite in 18 patients in the Furlow group and nine patients in the pushback group who had completed deciduous dental eruption. Mean ages at palatoplasty in the Furlow group and the pushback group were 2.6 years and 2.0 years, respectively. There were no differences between the groups in the distribution of type of cleft or age at palatoplasty. Mean ages at growth evaluation were 4.2 years in the two groups. Only five patients in the Furlow group had anterior crossbite. In the pushback group, on the other hand, three patients had anterior crossbite, one had posterior crossbite, and three had both anterior and posterior crossbite. The difference between the presence of crossbite in the two groups was statistically significant. Furlow palatoplasty allowed adequate maxillary growth.

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