Tragal cartilage augmentation in repair of cleft palate, a new technique and its clinical implications

Ezzat, Waleed F.; Rabie, H.; Tarabishi, Mahmoud N.

doi:10.1016/j.ijporl.2010.05.006

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Twenty-six of these were excluded because the contact details of the corresponding authors were not available (Furlow, 1986; Amaratunga, 1988; Horswell et al, 1993; Senders and Sykes, 1995; Emory et al, 1997; Wilhelmi et al, 2001; Sie and Gruss, 2002; Helling et al, 2006; Ravishanker, 2006; Hassan and Askar, 2007; Andrades et al, 2008; Bindingnavele et al, 2008; Khosla et al, 2008; Steinbacher et al, 2011; Dong et al, 2012; Lam et al, 2012; Tan et al, 2012; Jackson et al, 2013; Mahoney et al, 2013; Nadjmi et al, 2013; Butow et al, 2014; Lithovius et al, 2014; Pan et al, 2014; Yamaguchi et al, 2016; Mann et al, 2017; Murthy et al). An additional 27 articles were excluded because the corresponding authors did not respond to our request to obtain the necessary data (Padwa and Mulliken, 2003; Jackson et al, 2004; LaRossa et al, 2004; Inman et al, 2005; Mak et al, 2006; Ogata et al, 2006; Kobus, 2007; Phua and de Chalain, 2008; Agrawal, 2009; Sullivan et al, 2009; Ezzat et al, 2010; Lu et al, 2010; Paniagua et al, 2010; Isik et al, 2011; Losken et al, 2011; Williams et al, 2011; Eberlinc and Kozelj, 2012; Rauf et al, 2012; Black and Gampper, 2014; de Agostino Biella Passos et al, 2014; Deshpande et al, 2014; Zhang et al, 2014; Hudson and Pickett, 2015; Hosseinabad et al, 2015;…”

Section: Resultsmentioning

confidence: 99%

The Impact of Presurgical Infant Orthopedics on Oronasal Fistula Rates Following Cleft Repair: A Meta-Analysis

Jodeh

Buller

Rottgers

2018

The Cleft Palate Craniofacial Journal

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Background: Presurgical infant orthopedics (PSIO) techniques were introduced to improve the outcomes achieved when treating children with complete cleft lip and palate. The effect of PSIO on the incidence of postoperative fistulae has never been reliably demonstrated. We conducted a meta-analysis to assess the effectiveness of PSIO in reducing postoperative fistulas in patients with complete cleft lip and palate. Methods: A search of the PubMed and Embase databases was performed to identify relevant articles that included primary palate repairs of patients with unilateral or bilateral complete clefts, reported the incidence of postoperative fistulae, and explicitly stated if PSIO was used. Details including author, number of subjects, use of PSIO, and fistula rate were cataloged. Results: A review of the PubMed database yielded 1135 unique citations, and Embase yielded 507 articles. Review of these yielded 15 studies, comprising 1241 children, which met inclusion criteria. The overall rate of oronasal fistula development was 7.09%. The average fistula rate for studies using PSIO was 5.93% versus 9.71% in the non-PSIO group. This difference was not statistically significant (P = .34). Conclusions: The use of PSIO prior to cleft lip and palate repair provides multiple benefits related to facial and nasal form and is supported by a body of literature. The effect of PSIO on the incidence of postoperative fistulae has received less attention in the literature. Our meta-analysis of the available literature does not provide evidence to support the premise that the use of PSIO affects the incidence of fistulae after cleft palate repair.

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Section: Resultsmentioning

confidence: 99%

The Impact of Presurgical Infant Orthopedics on Oronasal Fistula Rates Following Cleft Repair: A Meta-Analysis

Jodeh

Buller

Rottgers

2018

The Cleft Palate Craniofacial Journal

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“…Generally, surgical repair of palatal fistulas can be technically difficult, most often due to the paucity of local tissue for closure or excessive scarring in the same areas as a result of the previous repair. Therefore, there have been reports of not only a local flap around the fistula 4–6 but also a variety of methods that make use of additional tissue 18–22 to close the defect.…”

Section: Discussionmentioning

confidence: 99%

The Folded Buccal Musculomucosal Flap for Large Palatal Fistulae in Cleft Palate

Kobayashi

Fukawa²,

Hirakawa³

et al. 2014

Plastic and Reconstructive Surgery Global Open

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Background:A palatal fistula is a common complication of cleft palate repair. Although a buccal musculomucosal flap (BMMF) is effective for fistula repair, it does have the following problems: a second operation may be required to release the pedicle on the oral side and unilateral BMMF cannot close mucosal defects of both the nasal and oral sides. A novel fistula closure method using the folded BMMF (f-BMMF) invented by the authors is presented.Case:A 8-year-old-boy with bilateral cleft lip and palate with anencephaly. A fistula in the hard palate occurred after palatoplasty by the Furlow method, and an f-BMMF was planned. The mucosal defects of the nasal and oral sides were covered by 2 separate islands of mucosal epithelium. Finally, no reoperation was needed to remove the pedicle of the f-BMMF.Conclusion:The f-BMMF is able to cover both sides without a raw surface and a mucosal graft even in cases of large fistula closure, although BMMF cannot usually cover both oral and nasal sides of a fistula. The advantages of this procedure are that it does not require second surgery to release the pedicle and that its distal island mucosa can be used to monitor engraftment. This proposed method seems to be an appealing alternative.

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“…In particular, the velopharyngeal sphincter region is the most critical to understand the pathophysiologic changes that may link swallowing disorders to ET function [11]: the velopharyngeal sphincter is a muscular belt located between the nasal and the oral cavities, and includes several muscles. Among these muscles, the mTVP, which opens the anterior fibrocartilaginous part along twothirds of ET, has a primary function in the maintenance of the physiology of the ET function [12,13].…”

Section: Discussionmentioning

confidence: 99%

Deleterious sucking habits and atypical swallowing in children with otitis media with effusion

Ralli

Ruoppolo

Mora

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Tragal cartilage augmentation in repair of cleft palate, a new technique and its clinical implications

Cited by 3 publications

References 11 publications

The Impact of Presurgical Infant Orthopedics on Oronasal Fistula Rates Following Cleft Repair: A Meta-Analysis

The Impact of Presurgical Infant Orthopedics on Oronasal Fistula Rates Following Cleft Repair: A Meta-Analysis

The Folded Buccal Musculomucosal Flap for Large Palatal Fistulae in Cleft Palate

Deleterious sucking habits and atypical swallowing in children with otitis media with effusion

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