Double-reversing z-plasty (Furlow palatoplasty)

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Surgery

Background:

• Cleft palate repair is essential for speech and feeding.
• Velopharyngeal insufficiency (VPI) often results from inadequate palate length or muscle function.
• The double-reversing z-plasty technique offers a solution for these challenges.

Purpose of the Study:

• To outline the indications for performing the Furlow palatoplasty.
• To provide a detailed, stepwise surgical description of the Furlow palatoplasty.
• To aid clinicians in managing cleft palate and VPI.

Main Methods:

• The Furlow palatoplasty involves a double-reversing z-plasty incision.
• This technique repositions palatal muscle and adds length to the soft palate.
• The procedure is applicable to both overt and submucous clefts.

Main Results:

• The Furlow palatoplasty effectively repairs cleft soft palates.
• It significantly increases palatal length, crucial for speech.
• The technique aids in the realignment of palatal musculature, improving function.

Conclusions:

• The Furlow palatoplasty is a valuable technique for cleft palate repair.
• It addresses VPI by enhancing palate length and muscle function.
• This procedure is indicated for various cleft types and VPI management.