{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T10:44:46Z","timestamp":1770720286026,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1994,7,1]],"date-time":"1994-07-01T00:00:00Z","timestamp":773020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1994,7]]},"abstract":"<jats:p>The double\u2010reverse Z\u2010plasty (Furlow) repair of soft palate clefts has the advantages of lengthening the soft palate while reconstructing the palatal muscle sling to optimize velopharyngeal function. Because soft tissue from the hard palate is not mobilized to lengthen the soft palate, this technique has an additional theoretic advantage of minimizing disturbances of maxillofacial growth. Cited disadvantages of the technique include increased technical difficulty and operating time compared with other procedures. We performed a retrospective study of 20 consecutive Furlow repairs of the soft palate performed by residents under supervision of one attending surgeon between 1989 and 1992. All children had complete cleft of the soft palate; 14 had incomplete cleft and six had complete cleft of the hard palate, which were repaired by a modified Von Langenbeck technique or with vomer flaps. Mean age of patients was 15\u00a0months, and mean operating time (including placement of pressure\u2010equalizing tubes) was 162\u00a0minutes, with an average estimated blood loss of less than 25\u00a0ml. Average time until adequate oral intake was achieved was 1.7\u00a0days, and duration of hospitalization averaged 2.4\u00a0days. Immediate postoperative complications included transient tongue edema in one patient and atelectasis and pneumonia in one patient with multiple congenital anomalies. Delayed postoperative complications included symptoms of sleep apnea in four patients, which subsequently improved after tonsillectomy and\/or superior adenoidectomy. Fistulas occurred in two patients (10%), which compares favorably with published results of other techniques. Preliminary functional evaluations reveal that all repairs appear to have adequate length and good mobility; speech evaluations are in progress. Thus the double\u2010reverse Z\u2010plasty technique can be effectively taught to residents, and acceptable complication rates and functional results can be achieved.<\/jats:p>","DOI":"10.1177\/019459989411100115","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:53:21Z","timestamp":1448434401000},"page":"76-80","source":"Crossref","is-referenced-by-count":17,"title":["Results of Cleft Palate Repair with the Double\u2010Reverse Z\u2010Plasty Performed by Residents"],"prefix":"10.1002","volume":"111","author":[{"given":"Eric A.","family":"Mann","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\/Head and Neck Surgery Department of Surgery University of Connecticut Health Center Farmington Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James D.","family":"Sidman","sequence":"additional","affiliation":[{"name":"Minneapolis Ear, Nose, and Throat Clinic and Research Foundation Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1994,7]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"551","article-title":"Palatoplasty: A comparative study","volume":"80","author":"Krause CJ","year":"1975","journal-title":"Trans Am Acad Opthalmol Otolaryngol"},{"key":"e_1_2_1_3_1","first-page":"281","article-title":"A review of two different surgical procedures for the repair of clefts of the soft palate only","volume":"12","author":"Musgrave RH","year":"1975","journal-title":"Cleft Palate J"},{"key":"e_1_2_1_4_1","first-page":"1129","volume-title":"Otolaryngology\u2010head and neck surgery","author":"Bumsted RM","year":"1986"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198678060-00002"},{"key":"e_1_2_1_6_1","first-page":"2723","volume-title":"Cleft lip and palate and craniofacial disorders. Plastic Surgery","author":"Randall P","year":"1990"},{"key":"e_1_2_1_7_1","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/0007-1226(89)90174-4","article-title":"Early experiences with Furlow's cleft palate technique","volume":"42","author":"Poole MD","year":"1989","journal-title":"Br J Plast Surg"},{"key":"e_1_2_1_8_1","first-page":"205","article-title":"Die uranoplastik mittels ablosung der mukos\u2010priestalen Gaumenuberzuges","volume":"2","author":"Von Langenbeck B","year":"1861","journal-title":"Arch Klin Chir"},{"key":"e_1_2_1_9_1","first-page":"393","volume-title":"Cleft lip and palate: surgical, dental, and speech aspects","author":"Lindsay WK","year":"1971"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800259715"},{"key":"e_1_2_1_11_1","first-page":"127","article-title":"Cleft lip and palate repair technique","volume":"2","author":"Kilner TP","year":"1937","journal-title":"St Thomas Hosp Rep"},{"key":"e_1_2_1_12_1","first-page":"51","article-title":"Zur Frage der Frun\u2010und Spatoperationenen der angeborenen Lippen\u2010Kiefer\u2010Gaumen\u2010Spalten (mit Demonstrationen)","volume":"30","author":"Schweckendiek H","year":"1951","journal-title":"Z Laryngol Rhinol Otol"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-196944020-00004"},{"key":"e_1_2_1_14_1","first-page":"257","article-title":"Operation der Spalte im harten Gaumen in auschluss an velumplastik nach Schweckendiek","volume":"8","author":"Schroder F","year":"1966","journal-title":"Acta Chir Plast"},{"key":"e_1_2_1_15_1","first-page":"156","article-title":"Complications of soft palate primary palatoplasty","volume":"25","author":"Moire MD","year":"1988","journal-title":"Cleft Palate J"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/02844319009004535"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(63)80094-6"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-196008000-00003"},{"key":"e_1_2_1_19_1","first-page":"483","article-title":"The repair of cleft palates primarily unsuccessfully operated on","volume":"63","author":"Padgett EC","year":"1936","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_20_1","first-page":"295","article-title":"Palatal fistulae following cleft palate surgery","volume":"13","author":"Abyholm FE","year":"1979","journal-title":"Scand J Plast Reconstr Surg"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(62)80062-9"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199106000-00005"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/66.3.391"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989411100115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989411100115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:23:34Z","timestamp":1760955814000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989411100115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,7]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1994,7]]}},"alternative-id":["10.1177\/019459989411100115"],"URL":"https:\/\/doi.org\/10.1177\/019459989411100115","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,7]]}}}