Three Cases of Submucous Cleft Palate with Hypernasality Treated with Double Opposing Z-plasty

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J Korean Soc Laryngol Phoniatr Logop > Volume 9(2); 1998 > Article

Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 1998;9(2): 168-172.

과대비성을 동반한 점막하 구개열 환자에 대한 Double Opposing Z-plasty 3례

최홍식, 이승수, 김성국, 김태만, 김현준

연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소

Three Cases of Submucous Cleft Palate with Hypernasality Treated with Double Opposing Z-plasty

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ABSTRACT

Several kinds of surgical methods have been used to treat the submucous cleft palate with hypernasality. The purpose of this study was to evaluate the double opposing Z-plasty which is one of the newly established surgical methods by Dr. Furlow in three cases of submucous cleft palate with hypernasality operated in this department. There were a number of advantage of double opposing Z-plasty. The surgery is adaptable for use in early patient. Midfacial growth retardation and complication were not seen in all cases. Hypernasality was improved subjectively. Using the nasometer, the nasalance score of the postoperative period was compared with that of before surgery, much improvement were noted in 'Ah', 'PaPa'. And fiberoptic endoscope was used to evaluate the velopharyngeal closure pattern. Velopharyngeal closure pattern with velum was improved dramatically, Double opposing Z-plasty seem to be a good procedure for the treatment of submucous cleft palate with hypernasality.

KEY WORDS： Double opposing Z-plasty;Submucous cleft palate;Hypernasality;Nasometer;