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Experience in cleft palate repair by furlow's technique

Dr. Saadallah M. Al – Zacko MD , FRCS Dr. Tawfeeq Waleed MD. Experience in cleft palate repair by furlow's technique.

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Experience in cleft palate repair by furlow's technique

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  1. Dr. Saadallah M. Al – Zacko MD , FRCS Dr. Tawfeeq Waleed MD Experience in cleft palate repair by furlow's technique

  2. Velopharyngeal competence is the cornerstonein speech, feeding and respiration . In 1978, Dr. Leonard Furlow described anelegant new technique of repairing palatal cleftsusing opposing mirror image Z-plasties of the oraland nasal mucosa

  3. There are three main advantages for this techniqueover the former palatal pushback techniques. -palatal lengthening is the geometrical resultant ofthe Z-plasties. -it avoids linear scarring and subsequent contracture. -the restoration of a muscle sling.

  4. We operated on 16 patient during 1 year period and the data collection was as usual name ,age , sex , cleft width ,type of cleft according to Veau classification, time for dissection and time for closure , and length gained with post-operative complication.

  5. Conclusion Furlow palatal repair is a new technique and probably this was the first study of this procedure on a group of patients

  6. Conclusion Furlow palatal repair is a new technique and probably this was the first study of this procedure on a group of patients

  7. Conclusion Furlow palatal repair is a new technique and probably this was the first study of this procedure on a group of patients

  8. Conclusion Furlow palatal repair is a new technique and probably this was the first study of this procedure on a group of patients

  9. Result The intra-operative elongation ranged from 0.6 to 1.4 cm., and the time for dissection and suturing varied from 60 to 90 min , with a shorter operation time towards the few last cases.

  10. Complication was few and ranged from single oronasal fistula and another case of mild per-operative bleeding with partial loss of anterior mucosal flap that was treated conservatively .

  11. discussion -Furlow operation use the soft palate tissue to get lengthening and for secondary lengthening to treat VP incompetence. -Results obtained was less than that achieved by others due to limited experience. -Poor follow up. -Palatal measurement affected by edema of injection.

  12. -Age problem and its consequences on palatal repair -Speech improvement is noticed due to proper velopharyngeal competence . -Time can be shorter with experience and it's not difficult to learn. -The advantage of good maxillary growth of this procedure over other procedures could not be assessed .

  13. Conclusion Furlow palatal repair is a new technique and probably this was the first study of this procedure on a group of patients . It is a fairly easy technique that demands careful dissection and suturing and complication can be improved with practice

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