Secondary palatoplasty in velopharingeal insufficiency closure using double opposing Z-plasty technique: Palatoplasti sekunder pada penutupan insufisien velofaring menggunakan teknik double opposing Z-plasty

Andi Tajrin (Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Hasanuddin University Makassar, Indonesia)
Faisal (Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Hasanuddin University Makassar, Indonesia)

MDJ (Makassar Dental Journal)
Vol. 10 No. 1 (2021): Volume 10 Issue 1 April 2021

Objective: The surgical management of cleft palate or velopharyngeal insufficiency is anatomical reconstruction of an intact structure for improvement of speech outcome while minimizing the incidence of oronasal fistula. Case: A 20 years old male came to the outpatient clinic in Hasanuddin University Dental Hospital with a chief complaint of speech problem. He have had lip dan palate surgery previously. Management: Secondary palatoplasty was performed using double opposing z-plasty techni-nique. Discussion: There was an optimal soft palate lengthening after surgery and speech outcome will evaluate regularly. Con-clusion: The treatment of secondary cleft palate using double opposing z-plasty provide adequate lengthening of soft palate in the patient.