Advances in classification and reconstruction of palatal fistula after cleft palate operation
http://www.kqjbfz.com/article/2021/2096-1456/2096-1456-29-2-140.shtml
- Author:
AIPIZIGULI Yakupu
1
;
YAERKEN Aji
2
,
3
;
XU Hui
3
,
4
Author Information
1. Postgraduate College of Xinjiang Medical University
2. Department of Stomatology, People&prime
3. s Hospital of Xinjiang Uygur Autonomous Region
4. Department of Oral and Maxillofacial Surgery, People&prime
- Publication Type:Review
- Keywords:
cleft palate;
palatal fistula;
oronasal fistula;
reconstruction;
biomaterial;
cleft palate speech;
speech intelligibility;
velopharyngeal insufficiency
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2021;29(2):140-144
- CountryChina
- Language:Chinese
-
Abstract:
Postoperative fistulae are one of the most significant complications of cleft palate repair. They usually has an adverse effect on patients’ oral hygiene, speech and even mental health. There has been a wide range of rates of fistula occurrence, from 0.8%-60%, with the classification and definition of fistulae differing from one author to the next. In this paper, the definition and classification of palatal fistulae and their reconstruction method are reviewed. At present, there is a lack of a consistent definition of palatal fistulae and a classification that can fully reflect the characteristics of palatal fistula. Adjacent flap is mainly used for repairing small fistulae with an adequate amount of surrounding tissue; anteriorly based dorsal tongue flaps are a safe and reliable method for large fistulae; free flap is beneficial for refractory and complicated palatal fistulae that are difficult to repair by the local and pedicle flap; and different synthetic materials are used in multilayer repair of fistulae; among them, composite polymer membrane is highly biocompatible, promoting cell attachment and proliferation in animal models, but its security in the human body needs further research.
- Full text:腭裂术后腭瘘的分类及其修复研究进展.pdf
