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Furlow double-opposing z-plasty
Nikhila Raol1, Christopher J Hartnick
1Pediatric Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Mass., USA.
Advances in Oto-Rhino-Laryngology
|March 4, 2015
Summary
The Furlow palatoplasty is a versatile surgical technique for cleft palate repair, particularly effective for submucous clefts and palate lengthening. This method offers a valuable alternative when other procedures pose risks, such as in cases of anomalous carotid vasculature.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- The Furlow palatoplasty, first described in 1978, is a double-opposing z-plasty technique.
- It is recognized for its efficacy in repairing cleft soft palate defects.
Purpose of the Study:
- To outline the indications for employing the Furlow palatoplasty.
- To provide a detailed, stepwise surgical description of the Furlow palatoplasty procedure.
Main Methods:
- The chapter focuses on the clinical indications and surgical technique of the Furlow palatoplasty.
- It serves as a guide for surgeons considering this method.
Main Results:
- The Furlow palatoplasty is indicated for submucous cleft palate repair.
- It is also beneficial for palate lengthening and in specific high-risk patient populations.
- The procedure is a viable alternative to pharyngeal flaps or sphincter pharyngoplasty when carotid anomalies are present.
Conclusions:
- The Furlow palatoplasty is an excellent option for various soft palate repair scenarios.
- Understanding its indications and surgical steps is crucial for successful application.
- This technique expands the reconstructive options for surgeons in complex cases.
