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Early two-stage palatoplasty using modified Furlow's veloplasty.

Abstract：

OBJECTIVE: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. DESIGN AND SETTING:This was an institutional retrospective study. PATIENTS: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). INTERVENTIONS: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. RESULTS: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. CONCLUSION:The results indicate that the early two-stage protocol is advantageous for UCLP children in attaining better dental occlusion at 4 years of age.

journal_name

Cleft Palate Craniofac J

journal_title

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

authors

Nishio J,Yamanishi T,Kohara H,Hirano Y,Sako M,Adachi T,Mukai T,Miya S

doi

10.1597/08-067.1

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

73-81

issue

1

eissn

1055-6656

issn

1545-1569

pii

08-067

journal_volume

47

pub_type

杂志文章

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