Management of Furlow double opposing Z plasty with buccal fat pad and intraoperative bleeding in adult patient (Case report)

• Main Authors: Teiza Nabilah, Muhammad Irfan Rasul, Abul Fauzi, Andi Tajrin, Muhamad Ruslin
• Format: Article
• Language: English
• Published: Hasanuddin University 2016-06-01
• Series: Journal of Dentomaxillofacial Science
• Subjects: Furlow technique, Double opposing Z plasty, Buccal fat pad, Intraoperative bleeding
• Online Access: http://jdmfs.org/index.php/jdmfs/article/view/110

Velopharyngeal Insufficiency (VPI) is often occur in cleft palate patient. Furlow double opposing Z plasty technique, based on several studies, have shown better speech and velopharyngeal competence outcome compare to other techniques. The objective of this case report is to describe Furlow double opposing Z plasty technique procedure with  buccal fat pad in wide cleft adult patient and management of intraoperative bleeding complications that occur. A17 years old male patient diagnosed with unilateral palatoschisis complete post labioplasty and Furlow palatoplasty technique was performed with modifications using pedicle buccal fat pad. While the procedure ongoing, bleeding occurs which suspected to originate from the ascending palatine artery and the bleeding management was performed. Proper management from the oral surgeon and the anesthesia team has been successfully manage the bleeding. There were no complications after a few days of observation. Furlow double opposing Z plasty with buccal fat pad can be used as an alternative technique for cleft palate closure in adult patients.