Research on the Velopharyngeal Function between Furlow Palatoplasty and Two-flap Method in Repairing Cleft Palate

doi:10.13701/j.cnki.kqyxyj.2019.11.007

Abstract

Abstract: Objective: To evaluate and compare the voice effects and velopharyngeal function of cleft palate repaired with Furlow palatoplasty and two-flap method. Methods: Eighty-four patients with cleft palate who come for clinic at Hospital of Stomatology Wuhan University from January 2010 to December 2016 were selected, including 40 males and 44 females, at the age of 8 months to 12 months. Forty-five cases were treated with Furlow palatoplasty, while 39 cases were repaired by two-flap method. The surgeon was the same physician. Postoperative speech assessments were done by professional speech therapist, and the cephalometric measure and nasoendoscopy were made to detect the velopharyngeal closure. Results: There was a significant statistical difference between Furlow palatoplasty and two-flap method in the PSA scores, the need ratio (PW/PU), the degree of sagittal palatopharyngeal closure (BC/BD), and the velopharyngeal closure rate. There was no significant difference in the elevation angle of the soft palate. Conclusion: Both Furlow palatoplasty and two-flap method can effectively repair cleft palate patients. Furlow palatoplasty can improve the speech more effectively by reconstructing the levator veli palatini and reverse double Z plasty.

Key words: cleft palate, velopharyngeal closure, Furlow palatoplasty, two-flap method, speech assessment

HE Huijun, FU Yuchuan, CHEN Huilan, MIREGULI·Tuersunjiang, KE Jin, CAI Hengxing, LONG Xing, LI Jian. Research on the Velopharyngeal Function between Furlow Palatoplasty and Two-flap Method in Repairing Cleft Palate[J]. Journal of Oral Science Research, 2019, 35(11): 1035-1039.

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