29. Surgical outcomes of small double-opposing Z-plasty for patients with complete unilateral cleft palate

Trinh Do Van Nga, Le Van Son, Dang Trieu Hung, Nguyen Khanh Long

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Abstract

Cleft palate is one of the most common anomalies of the face which affects feeding and speech functions, facial growth and further psycho-socio problems. Palatoplasty plays a vital role in recovering both anatomic and functional aspects of the patients. Our research was conducted on 30 complete unilateral cleft palate (CUCP) who underwent small double-opposing Z-plasty in National Children’s Hospital from June 2021 to August 2022. The average age of the patients was 15.5 (months), average width between two posterior nasal spine was 11.28 ± 1.75 (mm) and average length of the palatal was 37.77 ± 3.76 (mm). Post-operation, the palatal elongated of average 3.40 ± 1.43 (mm). Immediate complication rates were 6.7% with 2 patients who had mild swollen and infection at surgical site. At least 2 months after the surgeries, all patients were reevaluated. Good healing was achieved in 90.0% without any complication. 6.7% had atypical uvula shape. 3.3% (1 out of 30) were rated as Failed due to separation of the uvula.

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References

1. Nghiêm Chi Phương. Khe hở môi - vòm miệng. Bệnh lý và Phẫu thuật hàm mặt. Tập 1. Nhà xuất bản Giáo dục Việt Nam, 2013;115-138.
2. Kadir A, Mossey PA, Blencowe H, et al. Systematic Review and Meta-Analysis of the Birth Prevalence of Orofacial Clefts in Low- and Middle-Income Countries. The Cleft palate-craniofacial journal: Official publication of the American Cleft Palate-Craniofacial Association. 2017;54(5):571-581.
3. Stein MJ, Zhang Z, Fell M, Mercer N, Malic C. Determining postoperative outcomes after cleft palate repair: A systematic review and meta-analysis. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2019;72(1):85-91.
4. Timbang MR, Gharb BB, Rampazzo A, Papay F, Zins J, Doumit G. A systematic review comparing Furlow double-opposing Z-plasty and straight-line intravelar veloplasty methods of cleft palate repair. Plast Reconstr Surg. 2014;134(5):1014-1022.
5. Randall P, LaRossa D, McWilliams BJ, Cohen M, Solot C, Jawad AF. Palatal length in cleft palate as a predictor of speech outcome. Plast Reconstr Surg. 2000;106(6):1254-1259; discussion 1260-1251.
6. Salyer KE, Sng KW, Sperry EE. Two-flap palatoplasty: 20-year experience and evolution of surgical technique. Plast Reconstr Surg. (2006);118(1):193-204.
7. Yamaguchi K, Lonic D, Lee CH, Yun C, Lo LJ. Modified furlow palatoplasty using small double-opposing Z-plasty: Surgical technique and outcome. Plastic and reconstructive surgery. 2016;137(6):1825-1831.
8. Nguyễn Thị Hồng Tuyến. Nhận xét đặc điểm lâm sàng và kết quả phẫu thuật khe hở vòm miệng toàn bộ một bên theo phương pháp V-Y pushback tại Bệnh viện Hữu nghị Việt Nam - Cu Ba năm 2014. Luận văn Bác sỹ Chuyên khoa Cấp II. 2014.
9. Lê Xuân Thu. Nhận xét lâm sàng và đánh giá kết quả phẫu thuật khe hở vòm miệng hai bên bẩm sinh theo phương pháp V-Y Veau - Wardill - Killner. Luận văn Bác sỹ Chuyên khoa Cấp II. 2011.
10. Seo HJ, Denadai R, Pascasio DCG, Lo LJ. Modified double-opposing Z-plasty for patients with Veau I cleft palate: Are lateral relaxing incisions necessary? Medicine. 2019;98(50):e18392.