Background: Cleft palate occurs due to incomplete fusion of the palatine shelves during embryonic development and can range in severity. It affects speech, hearing, and feeding, with complications such as nasal regurgitation and frequent infections. The condition is common globally, often appearing alongside cleft lip. Surgery is the main treatment, focusing on palate lengthening and function. Various techniques, like Furlow’s double Z-plasty and von Langenbeck palatoplasty, are compared for effectiveness in reducing complications and improving outcomes. 

Patients and method: Our study enrolled 44 children aged 6 to 18 months with non-syndromic complete cleft palates, randomly divided into two groups: Group A underwent von Langenbeck’s palatoplasty with intravelar veloplasty. Group B underwent Furlow’s double opposing Z plasty. 

Results: Preoperative palatal measurements were comparable between groups, Cleft width did not impact surgical outcomes, and both techniques are effective in achieving tension-free closure. von Langenbeck’s repair with intravelar veloplasty is as effective as Furlow’s palatoplasty in gaining palatal length and comes with the advantage of being an anatomical repair with lesser fistula rates.

TBA