Incidence of palatal fistula formation after primary palatoplasty in northern Finland

Lithovius, Riitta H.; Ylikontiola, Leena P.; Sándor, George K.B.

doi:10.1016/j.oooo.2014.07.002

Cited by 29 publications

(20 citation statements)

References 26 publications

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“…Some studies suggest that the length of the palate and width of the cleft are predictive factors for fistula formation (Randall et al, 2000;Parwaz et al, 2009;Li et al, 2017). With respect to extrinsic factors, gender, cleft palate with cleft lip, surgical technique, and bilaterality are regarded as risk factors of oronasal fistula (Kahraman et al, 2014;Lithovius et al, 2014;Hosseinabad et al, 2015). There has been a large-scale multicenter review using Sommerlad technique (Moar et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Intrinsic Predictors of Oronasal Fistula in Primary Cleft Palate Repair Using Intravelar Veloplasty

Kang

2020

The Cleft Palate-Craniofacial Journal

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Introduction: The purpose of the present study was to investigate various factors of cleft palate and to analyze their effect on fistula occurrence following palatal muscle repair using intravelar veloplasty. Methods: A retrospective review of patients who underwent palatoplasty was performed. Primary palatoplasty was performed by a single surgeon in a single center. A total of 165 patients who underwent palatoplasty were enrolled. Primary palatoplasty with levator veli palatini muscle repair using intravelar veloplasty was performed. Three extrinsic factors (age, gender, and body weight) and 6 intrinsic factors (cleft width, ratio of cleft width to intermaxillary tuberosity distance, cleft anterior margin shape, uvula position, cleft lip, and radical intravelar veloplasty) were analyzed. Results: Palatal fistula occurred in 11 (6.67%) patients. The occurrence of fistula was significantly correlated with a specific Veau classification, that is, type II ( P = .041). Fistula tended to occur more frequently with a wide cleft palate ( P = .063), and the high-risk cutoff value of the width was 7.75 mm. Conclusions: A larger cleft width tended to increase the occurrence of fistula. Close observation and information about the higher risk of fistula formation should be given to patients with a large cleft width who underwent intravelar veloplasty.

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Section: Discussionmentioning

confidence: 99%

Analysis of the Intrinsic Predictors of Oronasal Fistula in Primary Cleft Palate Repair Using Intravelar Veloplasty

Kang

2020

The Cleft Palate-Craniofacial Journal

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“…In this study, we did not record the width of the cleft in cleft palate patients. Lithovius et al [20] depicted no significant association between the type of palatoplasty and occurrence of fistula. Our study showed a significantly higher occurrence of fistula in 2-flap palatoplasty patients.…”

Section: Discussionmentioning

confidence: 99%

A statistical analysis of incidence, etiology, and management of palatal fistula

Garg

Shah

Uppal

et al. 2019

Natl J Maxillofac Surg

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Objective: The purpose of this study was to retrospectively review the incidence, profile, and the management of palatal fistula occurring in patients operated for cleft palate in our institute. Materials and Methods: A retrospective analysis was performed on all cleft palatal fistula patients who presented during the period from August 2007 to October 2017, to classify their site, age of presentation, surgery performed, and outcome. A record of the type of cleft palate and previous palatoplasty was also obtained. The outcome in terms of incidence and fistula formation depending on Veau's classification was analyzed. Results: Twenty-two patients reported with palatal fistula during this period. The incidence of fistula formation of our institute was 9.6%. Incisive foramen (13/22) was the most common site of fistula formation. Among various techniques used, local and buccal flaps were found to be useful in a maximum number of cases (14/22). The rate of fistula recurrence was 18.2% (4/22). On retrospective analysis of our institutional data, it was found that the incidence of cleft palate fistula was significantly higher in clefts with Veau Types III and IV (13/18) as compared to Veau Types I and II (5/18). Conclusion: This study shows that the fistula rate of our institution was 9.6%. Complete clefts (unilateral or bilateral) involving both primary and secondary palates predispose more to fistula formation.

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“…Lithovius et al 30 and Hardwicke et al 31 evaluated the incidence of fistula inthe palate of surgically managed CLP patients and reported that patients with CLP were more likely to develop postoperative palatal fistulas than patients with CP. About 32% of the children in the present study who were surgically managed for CLP had a residual fistula in the palate.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Postsurgical Dentofacial Deformities in Children Operated for Correction of Cleft Lip and Palate—A Cross-sectional Study

Joybell

Krishnan

Kumar

2019

International Journal of Clinical Pediatric Dentistry

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AimThe aim of this study is to evaluate the various dentofacial deformities in children who were surgically managed for cleft lip and palate (CLP).Materials and methodsThe study was carried out in 100 surgically managed cleft lip palate children between the ages of 4 years and 15 years. After eliciting a detailed history, a thorough intraoral and extraoral examination was done and details were recorded in a printed proforma with photographs.DesignCross-sectional study.Statistical analysis usedAll the data were analyzed using SPSS 11.5 software for evaluation using the Chi-square test.ResultsA wide range of surgical, dental, and functional problems among the surgically managed CLP patients were seen.ConclusionThe timing of direct lip repair showed a significant influence on the severity of dentofacial deformities. Lip repair before the age of 1 increases the severity of the deformity.How to cite this articleJoybell C, Krishnan R, et al. Evaluation of Postsurgical Dentofacial Deformities in Children Operated for Correction of Cleft Lip and Palate—A Cross-sectional Study. Int J Clin Pediatr Dent 2019;12(3):165–177.

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Incidence of palatal fistula formation after primary palatoplasty in northern Finland

Cited by 29 publications

References 26 publications

Analysis of the Intrinsic Predictors of Oronasal Fistula in Primary Cleft Palate Repair Using Intravelar Veloplasty

Analysis of the Intrinsic Predictors of Oronasal Fistula in Primary Cleft Palate Repair Using Intravelar Veloplasty

A statistical analysis of incidence, etiology, and management of palatal fistula

Evaluation of Postsurgical Dentofacial Deformities in Children Operated for Correction of Cleft Lip and Palate—A Cross-sectional Study

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