Twenty-nine consecutive patients with submucous cleft palate were treated a
t the University of Florida during the 10-year period from 1986 to 1996. Tw
enty-seven patients were available for speech follow-up. The evaluation of
these patients and rationale for treatment are discussed. The largest subgr
oup of patients were treated with the Furlow Z-plasty palatoplasty, which y
ielded a successful outcome in 15 of 18 patients, or 83%, The overall succe
ss rate was 96%, The Furrow Z-plasty palatoplasty was noted to have a very
high rate of success for patients with velopharyngeal gaps of 8 mm or less,
and less likelihood of success when the velopharyngeal gap exceeded 8 mm.