Oronasal fistula as a cleft palate sequela : closure with tongue flap. Case report with review of the literature

Leturc, Thomas; Chaux-Bodard, Anne-Gaëlle; Paulus, Christian

doi:10.1051/mbcb/2017012

Cited by 2 publications

(2 citation statements)

References 20 publications

(28 reference statements)

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“…In the realm of oronasal fistula repair, ADM has gained widespread acceptance. In a survey conducted by Simpson et al [2] two-thirds of respondents reported using ADM for some fistula closures. Despite its common use, research on the effectiveness of these biomaterials is limited, and there is a lack of clear indications for their use in ONF repair with fistula rates comparable to historical rates without ADM [61 ▪ ,62].…”

Section: Alternative Approaches To Massive Palate Defect Closurementioning

confidence: 99%

“…Massive palatal defects refer to large, total or near-total, defects of the hard and soft palate, and can occur as a complication of cleft palate repair due to failure of one or more repairs used in palatoplasty, but also can occur [1] secondary to trauma, tumour, or destruction from infection [1,2]. Although palatoplasty has continued to evolve, and demonstrates remarkable success in many cases, challenges persist; and palatoplasty failures can lead to massive palatal defects that can potentially be larger and more significant than the initial palatal fistula present initially [3 ▪ ].…”

Section: Introductionmentioning

confidence: 99%

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Managing massive palatial defect secondary to palatoplasty failures: an in-depth analysis

Boot,

Winters

2024

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review Massive palatal defects resulting from palatoplasty failures arising from cleft palate repair complications present ongoing challenges in clinical practice. The purpose of this review is to provide up-to-date insights into aetiology, risk factors, surgical techniques, and adjunctive therapies, aiming to enhance the understanding of such complex cases, and optimize patient outcomes. Recent findings Primary palatoplasty has fistula recurrence rates ranging from 2.4% to 55%. Factors such as cleft width, surgical repair method, and patient characteristics, influence the likelihood of failure. Classifications such as the Pakistan Comprehensive Classification and Richardson's criteria aid in assessing defects. Surgical options range from local flaps and revision palatoplasty to regional flaps (e.g., buccinator myomucosal, facial artery-based flaps, tongue flaps, nasal septal flaps) to free microvascular flaps. Alternative approaches include obturator prostheses, and acellular dermal matrix has been used as an adjuvant to multiple repair techniques. Hyperbaric oxygen therapy has emerged as an adjunctive therapy to enhance tissue healing. Summary This comprehensive review underscores the intricate challenges associated with massive palatal defects resulting from palatoplasty failures. The diverse range of surgical and nonsurgical options emphasizes the importance of patient-centric, individualized approaches. Practitioners, armed with evidence-based insights, can navigate these complexities, offering tailored interventions for improved patient outcomes.

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Section: Alternative Approaches To Massive Palate Defect Closurementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Managing massive palatial defect secondary to palatoplasty failures: an in-depth analysis

Boot,

Winters

2024

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Oronasal Fistula: A Complication of Cleft Palate Surgery

Eltahir¹

2024

Recent Advances in the Treatment of Orofacial Clefts

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Oronasal fistula is one of the disappointing expected outcomes of cleft palate surgery. It may follow palatoplasty for palatal clefting patients, which is defined as an abnormal communication between the oral and nasal cavities. More than one system has attempted its classification. It may be a small and a symptomatic or symptomatic fistula that requires correction. Its rate differs widely according to many factors. Both surgical and non-surgical methods (the pros and cons of each should be considered) are available for its correction, and there are adjunctive therapies to assist in improving the surgical outcome.

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Oronasal fistula as a cleft palate sequela : closure with tongue flap. Case report with review of the literature

Cited by 2 publications

References 20 publications

Managing massive palatial defect secondary to palatoplasty failures: an in-depth analysis

Managing massive palatial defect secondary to palatoplasty failures: an in-depth analysis

Oronasal Fistula: A Complication of Cleft Palate Surgery

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