[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.211.168.204. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 32
Citations 0
Invited Commentary
October 06, 2016

Effect of Primary and Revision Repair on Palatal Motion

Author Affiliations
  • 1University of North Carolina School of Medicine, Chapel Hill
JAMA Otolaryngol Head Neck Surg. Published online October 6, 2016. doi:10.1001/jamaoto.2016.3070

In the 30 years since Leonard Furlow published his landmark article on the double-opposing Z-plasty technique to repair cleft palate, this procedure has been used with great enthusiasm.1 Initially employed in the repair of primary cleft palate, it has been reported in submucous cleft palate and in secondary palate repair with excellent results.2 Studies have shown its success in a variety of measures. These include improvement in speech parameters, including resonance, nasal emission, and plosives.3 The mechanism of its success has been thought to come from a number of factors. First, the Z-plasty both lengthens and strengthens the palate by providing overlapping tissue in a nonlinear fashion to avoid scar contracture. Next, the levator sling mechanism has been essentially repositioned posteriorly, where its function may be improved. Finally, the genu angle has been described to appear to be more acute.3

First Page Preview View Large
First page PDF preview
First page PDF preview
×