OBJECTIVE: Double-opposing Z-plasty (DOZ) of the Furlow method has been successfully used for the correction of marginal @entity1739 ( @entity1739 ) by reconstructing the levator muscle and lengthening the soft palate. For a recurrent or residual marginal @entity1739 , it was questioned whether redo DOZ could be applied to correct the problem and minimize surgical morbidity. This study reported the outcome of the redo DOZ. MATERIALS AND METHODS: The DOZ procedure was the method of choice for marginal @entity1739 in the authors' center. To evaluate the effectiveness of the redo operation, @entity1 with @entity2419 with or without @entity3384 treated from 2005 to 2014 were reviewed. Inclusion criteria were @entity8468 @entity1 who underwent the second DOZ for the correction of marginal @entity1739 . Clinical information, speech assessment, and nasopharyngoscopic findings were reviewed. RESULTS: The velopharyngeal function was improved from marginal to adequate in all 13 @entity1 either subjectively or objectively. The resonance became normal in nine @entity1 after the surgery, and the change was statistically significant. Preoperative audible nasal emission improved in four out of five @entity1 . Complications were minor or transient including one @entity1 with snoring. No @entity1 complained of airway or sleep problems. CONCLUSION: Although the levator muscle sling might be disturbed by the redo DOZ procedure, the surgery was effective in correcting the residual @entity1739 with low morbidity.

Redo double-opposing Z-plasty is effective for correction of marginal XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1739 :: ('MESH:D014681', 'Disease') :: ['VPI', 'velopharyngeal insufficiency'] @entity8468 :: ('OMIM:600791', 'Disease') :: ['non-syndromic'] @entity2419 :: ('MESH:D002972', 'Disease') :: ['cleft palate'] @entity3384 :: ('MESH:D002971', 'Disease') :: ['cleft lip']
@entity1739 :: (MESH:D014681,Disease) :: ['velopharyngeal insufficiency']
