The management of velopharyngeal insufficiency with Furlow double-opposing Z-plasty procedure

The management of velopharyngeal insufficiency with Furlow double-opposing Z-plasty procedure The aim of the study was an evaluation of Furlow’s method in correction of velopharyngeal insufficiency. A prospective study was conducted by a speech pathologist and a plastic surgeon. Rating of hypernasality and speech intelligibility were completed prior to and after surgical intervention. Nasometric measurements were also performed before and after surgical intervention. From May 2003 through September 2006, the first author performed 44 Furlow surgeries for the treatment of velopharyngeal insufficiency in patients with cleft palate. Patients with short, repaired cleft palates but with preserved normal function of pharyngeal sphincter qualified for the operation. The surgery was performed using double-opposing Z-plasty. The method was used in 24 males and 20 females aged from 6 to 25 years (mean age, 12 years). One patient (2%) developed wound dehiscence, and two further patients (4.5%) developed maceration of the wound margins, which delayed the healing process by only several days. Very good, good, or moderate results were obtained in 41 patients (91%). Poor outcome of treatment—excessive hypernasality or poor speech quality after the operation—was still present in four patients (9%). In our opinion, Furlow’s method is a very useful treatment method in patients with velopharyngeal insufficiency especially with sagittal orientation of levator veli palatini muscles. European Journal of Plastic Surgery Springer Journals

The management of velopharyngeal insufficiency with Furlow double-opposing Z-plasty procedure

Loading next page...
Copyright © 2008 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


  • Comparison of resonance outcomes after pharyngeal flap and Furlow double-opposing Z-plasty for surgical management of velopharyngeal incompetence
    Dailey, SA; Karnell, MP; Karnell, LH; Canady, JW
  • Use of nasometry as a diagnostic tool for identifying patients with velopharyngeal impairment
    Dalston, RM; Warren, DW; Dalston, ET
  • Correction of velopharyngeal insufficiency by pharyngeal augmentation using autologous cartilage: a preliminary report
    Denny, AD; Marks, SM; Oliff-Carneol, S
  • Incidence and severity of obstructive sleep apnea following pharyngeal flap surgery in patients with cleft palate
    Liao, YF; Chuang, ML; Chen, P
  • Pharyngeal flap and facial growth
    Semb, G; Shaw, WC
  • Salvaging the failed pharyngoplasty: intervention outcome
    Witt, PD; Myckatyn, T; Marsh, JL

You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial