Cleft Palate Fistulas

Cohen, Steven R.; Kalinowski, Joseph; LaRossa, Don; Randall, Peter

doi:10.1097/00006534-199106000-00005

Cited by 324 publications

(77 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We chose the Veau classification to evaluate the extent of the cleft, and past studies have reported that the cleft type classified using the Veau system was a predictor of fistula formation. In particular, a higher fistula rate has been reported in patients with Veau classes III and IV 14 19 . Although statistically insignificant (P = 0.201), patients with submucous cleft palate and Veau class IV showed a higher incidence of fistula than those with other Veau classification types in our study.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Incidence of fistula after primary cleft palate repair: a 25-year assessment of one surgeon’s experience

2022

View full text Add to dashboard Cite

Background Cleft lip and cleft palate are the most frequent congenital craniofacial deformities, with an incidence of approximately 1 per 700 people. Postoperative palatal fistula is one of the most significant long-term complications. This study investigated the incidence of postoperative palatal fistula and its predictive factors based on 25 years of experience at our hospital.Methods We retrospectively reviewed 636 consecutive palatal repairs performed between January 1996 and October 2020 by a single surgeon. Data from patients’ medical records regarding cleft palate repair were analyzed. The preoperative extent of the cleft was evaluated using the Veau classification system, and the cleft palate repair technique was chosen according to the extent of the cleft. SPSS version 25.0 was used for all statistical analyses, and exploratory univariate associations were investigated using the t-test.Results Fistulas occurred in 20 of the 636 patients; thus, the incidence of palatal fistula was 3.1%. The most common fistula location was the hard palate (9/20, 45%), followed by the junction of the hard and soft palate (6/20, 30%) and the soft palate (5/20, 25%). The cleft palate repair technique significantly predicted the incidence of palatal fistula following cleft palate repair (P=0.042). Fistula incidence was significantly higher in patients who underwent surgery using the Furlow double-opposing Z-plasty technique (12.1%) than in cases where the Busan modification (3.0%) or two-flap technique (2.0%) was used.Conclusions The overall incidence of palatal fistulas was 3.1% in this study. Moreover, the technique of cleft palate repair predicted fistula incidence.

show abstract

Section: Discussionmentioning

confidence: 94%

“…The preoperative extent of the cleft was evaluated using the Veau classification system, as follows: Veau class I, cleft soft palate; Veau class II, hard/soft cleft palate; Veau class III, unilateral cleft lip/palate; and Veau class IV, bilateral cleft lip/palate 14 .…”

Section: Methodsmentioning

confidence: 99%

Incidence of fistula after primary cleft palate repair: a 25-year assessment of one surgeon’s experience

2022

View full text Add to dashboard Cite

show abstract

“…Several studies have searched for an association between the severity of the palatal cleft and the rate of fistula formation [1, 11–13]. Some authors have attempted to isolate factors that would cause fistulae.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors have attempted to isolate factors that would cause fistulae. The most common ones include tension of palatal soft tissue after palatal repair, upper respiratory infection, postoperative hemorrhage, failure of a multilayer closure, and cleft severity [1, 11]. However, none of the studies conclusively proved that the severity of the cleft has a clear association with fistula occurrence.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Placement of an antibiotic oral pack on the hard palate after primary cleft palatoplasty: a randomized controlled trial into the effect on fistula rates

Reddy

Reddy²,

Banala³

et al. 2017

Clin Oral Invest

View full text Add to dashboard Cite

ObjectiveThe objective of this study is to determine whether placement of an antibiotic oral pack on the hard palate reduces fistula rates after primary cleft palatoplasty.Subjects and methodsThis study was a parallel blocked randomized controlled trial. The study consisted of two groups of 100 patients each with non-syndromic unilateral complete cleft lip, alveolus, and hard and soft palate that underwent primary palatoplasty. Group A had an oral pack placed on the hard palate for 5 days postoperatively while group B did not. Occurrence of fistulae between both groups was tested using odds ratios (OR).ResultsIn 2% of the patients in group A, a fistula was found 6 months after palatal surgery. In contrast, in 21% of the patients in group B, a palatal fistula could be confirmed. The fistula occurrence in group A was statistically significantly lower than that in group B (OR = 0.0768, CI = [0.02 … 0.34], p < 0.001).ConclusionThe findings of this study provide evidence that the rate of fistula formation after primary palatoplasty is significantly reduced if a pack soaked with antibiotic cream is placed on the palate postoperatively for 5 days.Clinical relevanceThe use of an antibiotic pack after cleft palate repair can be recommended to prevent occurrence of oronasal fistulae.

show abstract

Combined Tongue and Pharyngeal Flaps for Reconstruction of Large Recurrent Palatal Fistulas

Bagatin

Goldman

Nishioka

2000

Archives of Facial Plastic Surgery

View full text Add to dashboard Cite

Cleft Palate Fistulas

Cited by 324 publications

References 0 publications

Incidence of fistula after primary cleft palate repair: a 25-year assessment of one surgeon’s experience

Incidence of fistula after primary cleft palate repair: a 25-year assessment of one surgeon’s experience

Placement of an antibiotic oral pack on the hard palate after primary cleft palatoplasty: a randomized controlled trial into the effect on fistula rates

Combined Tongue and Pharyngeal Flaps for Reconstruction of Large Recurrent Palatal Fistulas

Contact Info

Product

Resources

About