Khodir, M., Soliman, M., Aboulhassan, M. (2022). EVALUATION OF FURLOW Z-PLASTY TECHNIQUE WITH ADDITION OF BUCCINATOR MYOMUCOSAL FLAP ON PALATAL LENGTHENING FOR PRIMARY CLEFT PALATE REPAIR.. Alexandria Dental Journal, 47(1), 143-148. doi: 10.21608/adjalexu.2021.73203.1188
Mahmoud Khodir; Mahitab Soliman; Mamdouh Aboulhassan. "EVALUATION OF FURLOW Z-PLASTY TECHNIQUE WITH ADDITION OF BUCCINATOR MYOMUCOSAL FLAP ON PALATAL LENGTHENING FOR PRIMARY CLEFT PALATE REPAIR.". Alexandria Dental Journal, 47, 1, 2022, 143-148. doi: 10.21608/adjalexu.2021.73203.1188
Khodir, M., Soliman, M., Aboulhassan, M. (2022). 'EVALUATION OF FURLOW Z-PLASTY TECHNIQUE WITH ADDITION OF BUCCINATOR MYOMUCOSAL FLAP ON PALATAL LENGTHENING FOR PRIMARY CLEFT PALATE REPAIR.', Alexandria Dental Journal, 47(1), pp. 143-148. doi: 10.21608/adjalexu.2021.73203.1188
Khodir, M., Soliman, M., Aboulhassan, M. EVALUATION OF FURLOW Z-PLASTY TECHNIQUE WITH ADDITION OF BUCCINATOR MYOMUCOSAL FLAP ON PALATAL LENGTHENING FOR PRIMARY CLEFT PALATE REPAIR.. Alexandria Dental Journal, 2022; 47(1): 143-148. doi: 10.21608/adjalexu.2021.73203.1188
EVALUATION OF FURLOW Z-PLASTY TECHNIQUE WITH ADDITION OF BUCCINATOR MYOMUCOSAL FLAP ON PALATAL LENGTHENING FOR PRIMARY CLEFT PALATE REPAIR.
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
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