HomeAnswersOral and Maxillofacial Surgerycleft palate surgeryMy daughter has a gap even after Furlow Z-plasty procedure. Why?

What can be done to close the gap that persists at the back of at the back of my daughter's throat even after Furlow Z-plasty?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 19, 2022
Reviewed AtOctober 17, 2023

Patient's Query

Hello doctor,

My daughter has nasal speech and only a cleft palate with no cleft lip. Her back of the throat is not closing completely. She had undergone Furlow Z-plasty, but still, there was a gap.

Hello,

Welcome to icliniq.com.

Can you tell me when did she undergo this Z-plasty procedure? Usually, the healing period and gap closure depend on the soft palate's length. The next step will be another surgical procedure, depending on when you got this done. It is called pharyngeal flap surgery or sphincter pharyngoplasty. It is recommended only when there is no improvement in speech or gap closure is insufficient.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop

Dentistry

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