Palato velar fistulae in cleft palate

Palato velar fistulae in cleft palate

Palatal fistulas after primary closure of a cleft palate are extremely variable ranging from 15 to 35%. When they are symptomatic, these fistulas affect feeding (nasal regurgitation to liquids, discharge, bad smells) and phonation (hypernasality that can hinder the precise assessment of velar incomp...

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Veröffentlicht in:Annales de chirurgie plastique et esthétique 2019-11, Vol.64 (5-6), p.406
Hauptverfasser: Bénateau, H, Garmi, R, Chatellier, A, Ambroise, B, Maltezeanu, A, Veyssière, A
Format: Artikel
Sprache:eng ; fre
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Cleft Palate - surgery
Humans
Oral Fistula - surgery
Palate, Soft
Postoperative Complications - surgery
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container_end_page
container_issue 5-6
container_start_page 406
container_title Annales de chirurgie plastique et esthétique
container_volume 64
creator Bénateau, H
Garmi, R
Chatellier, A
Ambroise, B
Maltezeanu, A
Veyssière, A
description Palatal fistulas after primary closure of a cleft palate are extremely variable ranging from 15 to 35%. When they are symptomatic, these fistulas affect feeding (nasal regurgitation to liquids, discharge, bad smells) and phonation (hypernasality that can hinder the precise assessment of velar incompetence). First of all, it is important to analyze the cause of the fistula, it helps to avoid early recurrences. The correction must apply to respect the 2 mucosal planes (nasal mucosa and oral mucosa), the only guarantee of surgical success. Different techniques are usually described: lingual flap, lifting of all palatal mucosa, flap hinge, blaster, FAMM. In all cases, postoperative care plays a key role in the success of the surgical correction.
doi_str_mv 10.1016/j.anplas.2019.05.010
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subjects Cleft Palate - surgery
Humans
Oral Fistula - surgery
Palate, Soft
Postoperative Complications - surgery
title Palato velar fistulae in cleft palate
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