Redo double-opposing Z-plasty is effective for correction of marginal velopharyngeal insufficiency》.pdf

Journal of Plastic, Reconstructive Aesthetic Surgery (2015) 68, 1215e1220 Redo double-opposing Z-plasty is effective for correction of marginal velopharyngeal insufficiency Po-Jung Hsu a, Shu-Hui Wang b, Claudia Yun b, Lun-Jou Lo c,* a Medical School of Chang Gung University, Taoyuan, Taiwan b Speech Pathologist in the Craniofacial Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan c Plastic and Reconstructive Surgery, Craniofacial Center, and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan Received 12 March 2015; accepted 5 May 2015 KEYWORDS Summary Objective: Double-opposing Z-plasty (DOZ) of the Furlow method has been suc- Double-opposing Z- cessfully used for the correction of marginal velopharyngeal insufficiency (VPI) by reconstruct- plasty; ing the levator muscle and lengthening the soft palate. For a recurrent or residual marginal Furlow palatoplasty; VPI, it was questioned whether redo DOZ could be applied to correct the problem and minimize Velopharyngeal surgical morbidity. This study reported the outcome of the redo DOZ. insufficiency; Materials and methods: The DOZ procedure was the method of choice for marginal VPI in the Cleft palate authors’ center. To evaluate the effectiveness of the redo operation, patients with cleft palate with or without cleft lip treated from 2005 to 2014 were reviewed. Inclusion criteria were non- syndromic patients who underwent the second DOZ for the correction of marginal VPI. Clinical information, speech assessment, and nasopharyngoscopic findings were reviewed. Results: The velopharyngeal function was improved from margi