Year 2020, Volume 33 , Issue 1, Pages 17 - 22 2020-01-31

Management of palatal fistulas and a simple surgical algorithm proposal

Fatma Nihal DURMUS KOCAASLAN [1] , Zuhra MEMIC [2] , Dogus YALCIN [3] , Ozhan CELEBILER [4]


Objectives: Despite improved techniques in repair of cleft palate, failure of healing of palatal structures resulting in a palatal fistula is one of the major challenges in the practice of reconstructive surgery. The aim of this study is to evaluate treatment success and failure in patients with palatal fistulas following cleft palate repair. Patients and Methods: Totally 44 patients with a history of cleft palate who underwent surgery for palatal fistula were included in this study undertaken between January 1999 and August 2014. Fistulas were classified as anterior and posterior according to the repair technique and were repaired using one of the following techniques: buccal mucosal flap, tongue flap or mucoperiosteal flap. Results: Success rate for anterior fistulas was 71.42% with tongue flap and 76.92% with mucoperiosteal flap. Success rate for posterior fistulas was 84.62% with mucoperiosteal flap and 75% with buccal mucosal flap. Difference in success rates between the anterior and posterior fistulas was not statistically significant. Conclusion: Our study results suggest the use of mucoperiosteal flaps for both anterior and posterior fistulas smaller than 5mm as the first choice, guided by the principle of replacing absent tissue with similar tissue.
Cleft palate, Palatal fistula, Post-palatoplasty fistula, Tongue flap, Two-flap palatoplasty
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Primary Language en
Subjects Medicine
Journal Section Original Research
Authors

Author: Fatma Nihal DURMUS KOCAASLAN (Primary Author)
Institution: School of Medicine, Marmara University
Country: Turkey


Author: Zuhra MEMIC
Institution: Reconstructive and Aesthetic Surgery Clinic, Klinika Varis
Country: Croatia


Author: Dogus YALCIN
Institution: Reconstructive and Aesthetic Surgery, Private Practice
Country: Turkey


Author: Ozhan CELEBILER
Institution: School of Medicine, Marmara University
Country: Turkey


Dates

Publication Date : January 31, 2020

Bibtex @research article { marumj681988, journal = {Marmara Medical Journal}, issn = {1019-1941}, eissn = {1309-9469}, address = {}, publisher = {Marmara University}, year = {2020}, volume = {33}, pages = {17 - 22}, doi = {10.5472/marumj.681988}, title = {Management of palatal fistulas and a simple surgical algorithm proposal}, key = {cite}, author = {DURMUS KOCAASLAN, Fatma Nihal and MEMIC, Zuhra and YALCIN, Dogus and CELEBILER, Ozhan} }
APA DURMUS KOCAASLAN, F , MEMIC, Z , YALCIN, D , CELEBILER, O . (2020). Management of palatal fistulas and a simple surgical algorithm proposal. Marmara Medical Journal , 33 (1) , 17-22 . DOI: 10.5472/marumj.681988
MLA DURMUS KOCAASLAN, F , MEMIC, Z , YALCIN, D , CELEBILER, O . "Management of palatal fistulas and a simple surgical algorithm proposal". Marmara Medical Journal 33 (2020 ): 17-22 <https://dergipark.org.tr/en/pub/marumj/issue/52168/681988>
Chicago DURMUS KOCAASLAN, F , MEMIC, Z , YALCIN, D , CELEBILER, O . "Management of palatal fistulas and a simple surgical algorithm proposal". Marmara Medical Journal 33 (2020 ): 17-22
RIS TY - JOUR T1 - Management of palatal fistulas and a simple surgical algorithm proposal AU - Fatma Nihal DURMUS KOCAASLAN , Zuhra MEMIC , Dogus YALCIN , Ozhan CELEBILER Y1 - 2020 PY - 2020 N1 - doi: 10.5472/marumj.681988 DO - 10.5472/marumj.681988 T2 - Marmara Medical Journal JF - Journal JO - JOR SP - 17 EP - 22 VL - 33 IS - 1 SN - 1019-1941-1309-9469 M3 - doi: 10.5472/marumj.681988 UR - https://doi.org/10.5472/marumj.681988 Y2 - 2019 ER -
EndNote %0 Marmara Medical Journal Management of palatal fistulas and a simple surgical algorithm proposal %A Fatma Nihal DURMUS KOCAASLAN , Zuhra MEMIC , Dogus YALCIN , Ozhan CELEBILER %T Management of palatal fistulas and a simple surgical algorithm proposal %D 2020 %J Marmara Medical Journal %P 1019-1941-1309-9469 %V 33 %N 1 %R doi: 10.5472/marumj.681988 %U 10.5472/marumj.681988
ISNAD DURMUS KOCAASLAN, Fatma Nihal , MEMIC, Zuhra , YALCIN, Dogus , CELEBILER, Ozhan . "Management of palatal fistulas and a simple surgical algorithm proposal". Marmara Medical Journal 33 / 1 (January 2020): 17-22 . https://doi.org/10.5472/marumj.681988
AMA DURMUS KOCAASLAN F , MEMIC Z , YALCIN D , CELEBILER O . Management of palatal fistulas and a simple surgical algorithm proposal. Marmara Med J. 2020; 33(1): 17-22.
Vancouver DURMUS KOCAASLAN F , MEMIC Z , YALCIN D , CELEBILER O . Management of palatal fistulas and a simple surgical algorithm proposal. Marmara Medical Journal. 2020; 33(1): 22-17.