P-flap vs. z-plasty????

We have been home almost two years and our biggest surgery yet is suppose to happen in May.  Hudson had his hard palate repaired in July 08(which also included a lip revision, rhino-plasty and tubes) another surgery in Dec 08 (unrelated), a tonsillectomy three weeks ago to make room for his p-flap which is the surgery scheduled for May.  Because of his seizure in Dec his neurologist insisted I talk to his ENT/cleft team about a sleep study when I mentioned his sleep apnea.  He was so surprised his cleft team had not addressed this.  I did bring it up to his ENT at his tonsil post-op and he too acted surprised his craniofacial surgeon had not discussed this with me saying "if he has sleep apnea he cannot have a p-flap".  We are a little frustrated.....granted, his tonsils now removed, which were HUGE, may have contributed largely to his sleep apnea.  His dentist is the one who first commented on his huge tonsils..not our surgeon OR ENT....

My questions are ONE, what do the cleft palate parents out there know about z-plasty and p-flap?  From what I know it is two different procedures having the same goal in mind (rebuilding soft palate which is crucial for speech).  I think (?) z-plasty is a newer technique and our surgeon said he does p-flap because it is what he learned in med school.  We would have to change surgeons if we went with z-plasty..TWO, anyone ever gotten a second opinion and changed what procedures (or were given a choice)?  I have had both explained to me and it sounds like z-plasty is not as painful or recovery as long.  We have been warned p-flap is a very painful and long recovery.  THREE, for those who have done one or the other, have you been happy with the results?

Of course we want to do what is best for Hudson and the best possible speech outcome for him.  I have researched both but know those speaking from experience is also a great tool and helpful in decision making.  

Thanks!! (you can email me privately at teagues5@msn.com)

so tired sometimes.....