Speech Outcomes After Secondary Furlow Z-Plasty and Pharyngeal Flap Procedure.

ABSTRACT: The optimal surgical approach for treating velopharyngeal insufficiency (VPI) in patients with cleft is unknown. Hence, the authors reported the outcomes and success rates of the Furlow Z-plasty and pharyngeal flap procedures for treating VPI in all types of clefts. The authors included 377 patients in this study, of whom 351 and 26 underwent Furlow Z-plasty and the pharyngeal flap procedures, respectively. The authors retrospectively assessed the outcomes of both procedures in 3 groups: the nonsyndromic, Robin sequence (RS), and syndromic groups. All patients were evaluated by speech pathologists preoperatively and postoperatively. The success rate of VPI correction after Furlow Z-plasty was 82%; however, 12% required a reoperation for residual VPI. Patients in the syndromic group had sig

SUBMITTER: Szwedyc A 

PROVIDER: S-EPMC12537044 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature