Advances in classification and reconstruction of palatal fistula after cleft palate operation
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...
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| Format: | Article |
| Language: | zho |
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Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases
2021-02-01
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| Series: | 口腔疾病防治 |
| Subjects: | |
| Online Access: | http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2021.02.013 |
| _version_ | 1819276334676836352 |
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| author | AIPIZIGULI Yakupu YAERKEN Aji XU Hui |
| author_facet | AIPIZIGULI Yakupu YAERKEN Aji XU Hui |
| author_sort | AIPIZIGULI Yakupu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-23T23:38:34Z |
| format | Article |
| id | doaj.art-51d7b62f19724bd6877f859cef8ebbf3 |
| institution | Directory Open Access Journal |
| issn | 2096-1456 2096-1456 |
| language | zho |
| last_indexed | 2024-12-23T23:38:34Z |
| publishDate | 2021-02-01 |
| publisher | Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases |
| record_format | Article |
| series | 口腔疾病防治 |
| spelling | doaj.art-51d7b62f19724bd6877f859cef8ebbf32022-12-21T17:25:46ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562096-14562021-02-0129214014410.12016/j.issn.2096⁃1456.2021.02.013Advances in classification and reconstruction of palatal fistula after cleft palate operationAIPIZIGULI Yakupu0YAERKEN Aji1 XU Hui2Postgraduate College of Xinjiang Medical University Department of Stomatology, People′s Hospital of Xinjiang Uygur Autonomous Region Department of Oral and Maxillofacial Surgery, People′s Hospital of Xinjiang Uygur Autonomous RegionPostoperative 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.http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2021.02.013cleft palatepalatal fistulaoronasal fistulareconstructionbiomaterialcleft palate speechspeech intelligibilityvelopharyngeal insufficiency |
| spellingShingle | AIPIZIGULI Yakupu YAERKEN Aji XU Hui Advances in classification and reconstruction of palatal fistula after cleft palate operation 口腔疾病防治 cleft palate palatal fistula oronasal fistula reconstruction biomaterial cleft palate speech speech intelligibility velopharyngeal insufficiency |
| title | Advances in classification and reconstruction of palatal fistula after cleft palate operation |
| title_full | Advances in classification and reconstruction of palatal fistula after cleft palate operation |
| title_fullStr | Advances in classification and reconstruction of palatal fistula after cleft palate operation |
| title_full_unstemmed | Advances in classification and reconstruction of palatal fistula after cleft palate operation |
| title_short | Advances in classification and reconstruction of palatal fistula after cleft palate operation |
| title_sort | advances in classification and reconstruction of palatal fistula after cleft palate operation |
| topic | cleft palate palatal fistula oronasal fistula reconstruction biomaterial cleft palate speech speech intelligibility velopharyngeal insufficiency |
| url | http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2021.02.013 |
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