EVALUATION OF FURLOW Z-PLASTY TECHNIQUE WITH ADDITION OF BUCCINATOR MYOMUCOSAL FLAP ON PALATAL LENGTHENING FOR PRIMARY CLEFT PALATE REPAIR. | ||||
| Alexandria Dental Journal | ||||
| Article 1, Volume 47, Issue 1, April 2022, Page 143-148 PDF (210.94 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2021.73203.1188 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mahmoud Khodir   1; Mahitab Soliman2; Mamdouh Aboulhassan3
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| 1oral and maxillofacial surgery department , faculty of dentistry , alexandria university | ||||
| 2oral and maxillofacial surgery , faculty of dentistry , Alexandria university | ||||
| 3plastic surgery , faculty of medecine , Cairo university | ||||
| Abstract | ||||
| INTRODUCTION: Cleft palate is considered as one of the most frequent congenital abnormalities of the face. Short palates with misoriented musculature is always a problem affecting speech. These considerations have pushed surgeons to modify palatoplasty techniques to get better speech outcomes. AIMS: To assess the significance of the buccinator myomucosal flap use combined with Furlow double z palatoplasty on lengthening of the palate in primary cleft palate. METHODS: Forty cleft palate patients were done using classical furlow z-plasty operation without suturing the right sided anteriorly based mucosal flap to the edge of the hard palate. This space was further filled with a left posteriorly based buccinator myomucosal flap. RESULTS: Among 40 patients with an age range of 9-18 months, the palatal lengthening was of a mean 29.65 (±4.72 ) compared to preoperative mean of 21.65 (±4.25 ).Paired t-test was used showing significant difference of pre and postoperative (P | ||||
| Keywords | ||||
| Furlow z-plasty; buccinator myomucosal; palatal lengthening | ||||
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