Treating submucous clefts with a double-opposing Z-plasty

Baek et al describe that the double-opposing Z-plasty could be a very valuable technique to treat hypernasality in submucous clefts1. Although this study is a valuable adjunct to the cleft literature, some factors need attention. The authors demonstrate that numerous patients still had articulation problems. The speech was analysed by plastic surgeons and although I am fully aware that some surgeons are able in doing this, for future studies I would suggest that the speech and articulation should be analysed by speech- and language pathologists.

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