Minimizing Palato/velar Fistulas: A New Anatomic Perspective on Unilateral Cleft Lip and Palate.

IF 1.5 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-02-26 eCollection Date: 2025-02-01 DOI:10.1097/GOX.0000000000006556

Gül Schmidt, Elena Hofmann, Friedrich Mrosk, Maria Franczyk, Carolin Bestendonk, Hubertus Koch, Max Heiland, Carsten Matuschek

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引用次数: 0

Abstract

Background: Unilateral cleft lip and palates present unique anatomy at the palato-velar-vomerine junction. This region can be the widest and most challenging part of the cleft, where functional fistulas may occur. In 2017, an approach concentrating on the nasal part was implemented, which rendered the repair of this transition zone less challenging. This study detailed this surgical modification, which allows easy and effective palate repair and thereby reduces fistula rates.

Methods: This study included 71 patients with unilateral cleft lip and palates who underwent 1-stage palatal repair using the same technique at the age of less than 1 year between 2017 and 2019 and were followed up until 2022. The surgical technique involved the incorporation of the unconnected vomer at the palato-velar-vomerine junction. Anatomical and speech assessments were performed during the annual follow-up period.

Results: None of the patients developed fistulas. The rate of hypernasality was 11.9%.

Conclusions: This study described a reliable technique to reduce fistula formation at the palato/velar junction during unilateral cleft lip and palate repair.

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.