Teaching Furlow palatoplasty: the sticky note method

Int J Pediatr Otorhinolaryngol. 2014 Nov;78(11):1849-51. doi: 10.1016/j.ijporl.2014.08.006. Epub 2014 Aug 15.

Abstract

Objective: The double-opposing Z-plasty (Furlow palatoplasty) procedure is a well-established method for palate repair in children. We propose a simple and easily accessible sticky note model to demonstrate the lengthening in palatal anatomy afforded by this technically challenging procedure.

Methods: Our model involves creating a lengthened three-dimensional representation of the Z-plasty through making specified incisions and rearrangements of the palatal layers. The sticky note model was made a total of 20 times and length of the palate model pre and post Z-plasty was measured.

Results: The average length of the palate pre-procedure was 72 mm. The average length of the palate post procedure was 78.9 mm, showing an increase of 6.9 mm (9.6%).

Conclusion: Our model provides an accurate and valuable educational tool that will aid in the visualization and understanding of the Furlow palatoplasty procedure.

Keywords: Cleft palate; Double opposing Z-plasty; Furlow palatoplasty; Simulation; Surgical education.

MeSH terms

  • Cleft Palate / surgery*
  • Humans
  • Models, Educational*
  • Otorhinolaryngologic Surgical Procedures / education*