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Management of palatal fistulas and a simple surgical algorithm proposal

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dc.contributor.authorDURMUŞ KOCAASLAN, FATMA NİHAL
dc.contributor.authorsKocaaslan, Fatma Nihal Durmus; Memic, Zuhra; Yalcin, Dogus; Celebiler, Ozhan
dc.date.accessioned2022-03-14T10:53:24Z
dc.date.available2022-03-14T10:53:24Z
dc.date.issued2020-01-31
dc.description.abstractObjectives: 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.
dc.identifier.doi10.5472/marumj.681988
dc.identifier.issn1309-9469
dc.identifier.urihttps://hdl.handle.net/11424/245320
dc.identifier.wosWOS:000550988600003
dc.language.isoeng
dc.publisherMARMARA UNIV, FAC MEDICINE
dc.relation.ispartofMARMARA MEDICAL JOURNAL
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCleft palate
dc.subjectPalatal fistula
dc.subjectPost-palatoplasty fistula
dc.subjectTongue flap
dc.subjectTwo-flap palatoplasty
dc.subjectACELLULAR DERMAL MATRIX
dc.subjectCLEFT-PALATE
dc.subjectPRIMARY REPAIR
dc.subjectCLASSIFICATION
dc.subjectPALATOPLASTY
dc.subjectCLOSURE
dc.subjectFLAPS
dc.titleManagement of palatal fistulas and a simple surgical algorithm proposal
dc.typearticle
dspace.entity.typePublication
local.avesis.id5eb7ca13-da1c-42e6-b4e5-bb3b03c853db
local.import.packageSS16
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atTRDIZIN
local.journal.numberofpages6
oaire.citation.endPage22
oaire.citation.issue1
oaire.citation.startPage17
oaire.citation.titleMARMARA MEDICAL JOURNAL
oaire.citation.volume33
relation.isAuthorOfPublicatione93af0dc-fdfb-4944-937d-3b98d8b81a17
relation.isAuthorOfPublication.latestForDiscoverye93af0dc-fdfb-4944-937d-3b98d8b81a17

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