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KMID : 0952820120150020097
Journal of Korean Cleft Lip & Palate Association
2012 Volume.15 No. 2 p.97 ~ p.108
The Effectiveness of Furlow¡¯s Double Opposing Z-plasty for Treatment of Velopharyngeal Insufficiency
Kim Soo-Ho

Kim Eu-Gene
Park Hyong-Wook
Cheon Kang-Yong
Hwang Soon-Jung
Abstract
Velopharyngeal insufficiency (VPI) is improper closure of velopharynx during the phonation and swallowing due to various causes, especially appeared in cleft palate patients. The several surgical techniques and speech therapy can be considered in treatment of VPI. The surgical techniques such as Furlow¡¯s double opposing Z-plasty, pharyngeal flap, push-back palatoplasty, etc. have been widely used when the speech therapy is not so much effective. However, there is considerable variability in the methods for evaluation and in success criteria making difficult to compare among surgical techniques. This article reviewed the recent articles about comparing the surgical techniques in treatment of VPI. Although there is no significant difference in speech assessment by speech pathologist, Furlow¡¯s double opposing Z-plasty is a useful technique especially diminishing hypernasality and nasal emission.
KEYWORD
Velopharyngeal insufficiency, Furlow¡¯s double opposing Z-plasty, Cleft palate, Hypernasality, Nasal emission
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