Palate

Palate
       

• Seagle MB, Patti CS, Williams WN, et al (Univ of Florida, Gainesvilla)
  Submucous Cleft Palate: A 10-Year Series.
  Ann Plast Surg 42: 142-148, 1999
      
  29 patients with submucous cleft palate between 1 to 14 years were operated by a single surgeon between 1986 to 1996. There was high success rate of 96% as far as speech, evaluation was concerned. The patient with velopharyngeal insufficiency (VPI) of more than 8mm had lesser success rate.   

Cleft Lip and Plate
 

• Kirschner RE, Wang P, Jawad AF, et al (Univ of Pennsylvania, Philadelphia; Children’s Hosp, Philadelphia; Children’s Seashore House, Philadelphia)
  Cleft-Palate Repair by Modified Furlow Double-Opposing Z-Plasty: The Children’s Hospital of Philadelphia Experience
  Plast Reconstr Surg 104:1998-2010, 1999 
   
  The optimal cleft-palate repair approach remains controversial. Of 390 patients who underwent the repair, 65 were under age 5 years at the time of their last speech evaluation.
  
  Age at palato-plasty, cleft-type, and experience of the operating surgeon had no significant impact on speech outcome. There was a trend toward superior results in patients undergoing palatal repair before age 6 months. Furlow palatoplasty provided outstanding speech results. 
  
  This is by far the largest series in the literature looking at speech results after repair of clefts of the palate using a modified double-opposing Z-plasty.