Outcomes of Surgical Management of Palatal Fistulae in Patients With Repaired Cleft Palate.

摘要: BACKGROUND The palatal fistula is an important surgical challenge within the longitudinal follow-up of patients with repaired cleft palate as success rate reconstruction by adopting several techniques variable and often unsatisfactory. purpose this retrospective study was to report clinical outcomes algorithm for management fistulae in palate. METHODS Consecutive (n = 101) fistula-related symptoms who were treated according a specific between 2009 2017 included. Based on anatomical location (Pittsburgh types II-V), amount scarring (minimal or severe scarred palate), diameter (≤5 mm >5 mm), 1 3 approaches (local flaps [62.4%], buccinator myomucosal [20.8%], tongue [16.8%]) performed. For outcome assessment, symptomatic parameters (fistula-reported residual fistula, respectively) combined follows: complete closure no symptoms; asymptomatic narrow remained; failure repair ("good," "fair," "poor" outcomes, respectively). Surgical-related complication data also collected. RESULTS Most (91.1%) presented "good" ranging from 86.2% 100% (86.2%, 100%, local flaps, All (8.9%) "fair" observed reconstructed flaps. (5%) borderline (4-5 mm). No surgical-related complications (dehiscence, infections, necrosis) observed, except episode bleeding after 1st stage flap-based (1.0%). CONCLUSION A high resolution achieved using