Submucous cleft palate: a 10-year series.
Twenty-nine consecutive patients with submucous cleft palate were treated at the University of Florida during the 10-year period from 1986 to 1996. Twenty-seven patients were available for speech follow-up. The evaluation of these patients and rationale for treatment are discussed. The largest subgroup of patients were treated with the Furlow Z-plasty palatoplasty, which yielded a successful outcome in 15 of 18 patients, or 83%. The overall success rate was 96%. The Furlow Z-plasty palatoplasty was noted to have a very high rate of success for patients with velopharyngeal gaps of 8 mm or less, and less likelihood of success when the velopharyngeal gap exceeded 8 mm.
Division of Plastic Surgery, University of Florida, Gainesville 32610, USA.
M B
MB
Seagle
C S
CS
Patti
W N
WN
Williams
V D
VD
Wood
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002972:Cleft Palate / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D013064:Speech Disorders / Q000209:etiology; D013524:Surgical Flaps; D016896:Treatment Outcome; D014681:Velopharyngeal Insufficiency / Q000209:etiology