Oronasal Fistula Following Cleft Palate Surgery in Our Institute of Cleft Lip&Palata during 12 Years

DOI 2 Citations
  • UEMURA Tetsuji
    Showa Cleft Palate Team, Department of Plastic and Reconstructive Surgery, Showa University
  • ONIZUKA Takuya
    Showa Cleft Palate Team, Department of Plastic and Reconstructive Surgery, Showa University
  • OHKUBO Fumio
    Showa Cleft Palate Team, Department of Plastic and Reconstructive Surgery, Showa University
  • AOYAMA Ryosuke
    Showa Cleft Palate Team, Department of Plastic and Reconstructive Surgery, Showa University
  • TAKAHAMA Hiromitsu
    Showa Cleft Palate Team, Department of Plastic and Reconstructive Surgery, Showa University

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  • 当施設12年間の口蓋裂push back手術後の瘻孔について

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The oronasal fistula following cleft palate surgery occurs occasionally and becomes troublesome in different ways. The problems of these cases are mainly leakage of food and drink and speech disorders.<BR>Our study reviews oronasal fistula occurring after palatoplasty. Subjects were 776 patients who had received palatoplasty by muco-periost push back in our clinic from Jan.1980 to Mar.1992.<BR>The results are:<BR>1. The overall incidence of fistula was 25.2 %.<BR>2. In cleft type, the incidence of fistula was; 51.8 % in BCLP,42.6 % in UCLP,16.1 % in hard and soft cleft palate,9.4 % in soft cleft palate, and 4.3 % in Submucocal CP.<BR>3. There was the lowest incidence of fistula in patients operated on during Jul.1989-Mar.1992 among the three groups; Jan.1980-Apr.1985, May.1985-Jun.1989, and Jul.1989-Mar.1992.<BR>The conclusions are:<BR>a. In Cleft type incidence of fistula had decreaed in complete cleft lip and palate<BR>b. In Size incidence of large hole was decreasing from Jan.1980-Apr.1985, and incidence of slit hole and medium hole had decreaed rapidly from Apr.1985 to Mar.1992.<BR>The recurrence ratio of fistula after the fisturectomy is relatively high in every method of fistulectomy. It is important for surgeons to prevent residual fistula in primary palatoplasty.

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