{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:28Z","timestamp":1786978168606,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T00:00:00Z","timestamp":1663545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81974147"],"award-info":[{"award-number":["81974147"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012542","name":"Sichuan Province Science and Technology Support Program","doi-asserted-by":"publisher","award":["2022NSFSC0743"],"award-info":[{"award-number":["2022NSFSC0743"]}],"id":[{"id":"10.13039\/100012542","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To explore the incidence of postoperative complications and investigate the impact of preselected factors on functional and quality of life outcomes following the Sommerlad\n                      <jats:styled-content style=\"fixed-case\">\u2013<\/jats:styled-content>\n                      Furlow modified palatoplasty technique.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 429 patients with cleft palate, who received Sommerlad\n                      <jats:styled-content style=\"fixed-case\">\u2013<\/jats:styled-content>\n                      Furlow modified technique between 2011\u20132017 were enrolled. The postoperative complications including oronasal fistula (ONF), velopharyngeal insufficiency (VPI), and inadequate quality of life (QOL) were collected. Data of preselected factors including gender, age at palatoplasty, cleft type, cleft width, palatal width, pharyngeal cavity depth, and operation duration were also collected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 429 patients, 40.1% were males whereas 59.9% were females. The mean age at palatoplasty was 1.23\u2009\u00b1\u20090.69 (0.42\u20134) years, and the average cleft width was 10.15\u2009\u00b1\u20092.95 (4\u201327) mm. The cleft types had recorded rates of about 6.8%, 69.5%, 17.7%, and 6.1% of Veau I, II, III, and IV, respectively. The overall incidence rates of ONF, VPI, and inadequate QOL were 2.3%, 19.4%, and 31.3%, respectively. In both the univariate and multivariate analyses, the cleft type was significantly implicated in ONF formation (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.023 and 0.032, respectively) whereas the velopharyngeal function was impacted by the palatoplasty age (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u02c2\u00a00.001). The receiver operating characteristic curve indicated that age of palatoplasty \u22651.3\u2009years (area under the curve\u00a0=\u00a00.611,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.002) was the cutoff value for predicting the incidence of VPI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The Sommerlad\n                      <jats:styled-content style=\"fixed-case\">\u2013<\/jats:styled-content>\n                      Furlow modified technique appears to have appropriate postoperative outcomes, even in the wide cleft palate. The older age at palatoplasty has a major impact on the overall postoperative outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 133:822\u2013829, 2023\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.30385","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T05:30:09Z","timestamp":1663565409000},"page":"822-829","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The\n                    <scp>Sommerlad\u2013Furlow<\/scp>\n                    Modified Palatoplasty Technique: Postoperative Complications and Implicating Factors"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3793-9084","authenticated-orcid":false,"given":"Karim Ahmed","family":"Sakran","sequence":"first","affiliation":[{"name":"State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery West China Hospital of Stomatology, Sichuan University  Chengdu China"},{"name":"Department of Oral and Maxillofacial Surgery, College of Dentistry Ibb University  Ibb Yemen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Wu","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery West China Hospital of Stomatology, Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Alkebsi","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery West China Hospital of Stomatology, Sichuan University  Chengdu China"},{"name":"Department of Oral and Maxillofacial Surgery, College of Dentistry Ibb University  Ibb Yemen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4372-0465","authenticated-orcid":false,"given":"Mubarak Ahmed","family":"Mashrah","sequence":"additional","affiliation":[{"name":"Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease Stomatology Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remsh Khaled","family":"Al\u2010Rokhami","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, School of Stomatology Lanzhou University  Lanzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery West China Hospital of Stomatology, Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdo Ahmed","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, College of Dentistry Ibb University  Ibb Yemen"},{"name":"Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6906-8279","authenticated-orcid":false,"given":"Sadam 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