What does this research mean for the field?

Pharyngeal flap provides more durable speech outcomes and significantly lower reoperation rates than Furlow Z-plasty for the primary treatment of submucous cleft palate, despite a potentially increased risk of obstructive sleep apnea. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The study aims to compare the speech outcomes of Furlow Z-Plasty and pharyngeal flap in managing submucous cleft palate.

May 16, 2026The Cleft Palate-Craniofacial Journal

Comparison of Speech Outcomes Following Furlow Z-Plasty Versus Pharyngeal Flap in the Primary Management of Submucous Cleft Palate

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The study aims to compare the speech outcomes of Furlow Z-Plasty and pharyngeal flap in managing submucous cleft palate.
Participants underwent either Furlow Z-Plasty or pharyngeal flap procedures for submucous cleft palate.
Speech outcomes and reoperation rates were evaluated post-surgery.
Pharyngeal flap provided significantly better speech outcomes than Furlow Z-Plasty.
Reoperation rates were lower in the pharyngeal flap group compared to the Furlow Z-Plasty group.
Increased risk of obstructive sleep apnea was noted with pharyngeal flap.

Implication

Randomized trial compares speech outcomes in submucous cleft palate, suggesting pharyngeal flap may be more effective.

Abstract

= .920).ConclusionsBased on the available evidence, P Flap appears to offer more durable speech outcomes than FZP for the primary treatment of SMCP, with significantly lower reoperation rates. However, the potential for increased OSA risk following P Flap highlights the importance of patient-specific surgical planning that balances velopharyngeal function with airway safety.

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Cite This Study

Mokhtar et al. (2026) studied this question.

synapsesocial.com/papers/6a080b38a487c87a6a40d5fa https://doi.org/10.1177/10556656261445557

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Implication

Randomized trial compares speech outcomes in submucous cleft palate, suggesting pharyngeal flap may be more effective.

Comparison of Speech Outcomes Following Furlow Z-Plasty Versus Pharyngeal Flap in the Primary Management of Submucous Cleft Palate

Key Points

Implication

Abstract

Discussion

Cite This Study

Comparison of Speech Outcomes Following Furlow Z-Plasty Versus Pharyngeal Flap in the Primary Management of Submucous Cleft Palate

Key Points

Implication

Abstract

Discussion

Cite This Study

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