Evaluation of the effect of a resorbable membrane on the closure of palatal fistulas
PurposeA palatal fistula following the closure of palatal clefts remains a difficult clinical complication. Surgical treatment of fistulas is often complicated, with high recurrence rates. We present our results of fistula closure augmented with GTR, a resorbable membrane designed to promote guided...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2023-02-01
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Series: | Frontiers in Surgery |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1134934/full |
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author | Yufeng Wang Fangling Yang Weilong Liu Xiaofen Fan Yong Lu |
author_facet | Yufeng Wang Fangling Yang Weilong Liu Xiaofen Fan Yong Lu |
author_sort | Yufeng Wang |
collection | DOAJ |
description | PurposeA palatal fistula following the closure of palatal clefts remains a difficult clinical complication. Surgical treatment of fistulas is often complicated, with high recurrence rates. We present our results of fistula closure augmented with GTR, a resorbable membrane designed to promote guided tissue regeneration.MethodsWe reviewed the records of 75 patients operated on between 2008 and 2022 for closure of the palatal fistula. The patients included 24 who underwent fistula closure augmented with GTR and 51 who underwent fistula closure with other techniques. We reviewed the age at surgery, sex, fistula location, and outcome. Operation success was defined as an asymptomatic patient with a healed fistula on clinical examination.ResultsThe overall fistula closure rate was 79.1% in the GTR group and 76.5% in the non-GTR group(p = 0.79).DiscussionThe success rate of fistula closure in the GTR group is comparable to that in the non-GTR group in this study. An additional advantage is that this procedure does not require harvesting any autologous tissue and reduces tissue damage in the long term. |
first_indexed | 2024-04-10T06:58:16Z |
format | Article |
id | doaj.art-7553dcd1735d46d9941018c2b1c862fd |
institution | Directory Open Access Journal |
issn | 2296-875X |
language | English |
last_indexed | 2024-04-10T06:58:16Z |
publishDate | 2023-02-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Surgery |
spelling | doaj.art-7553dcd1735d46d9941018c2b1c862fd2023-02-28T05:24:43ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-02-011010.3389/fsurg.2023.11349341134934Evaluation of the effect of a resorbable membrane on the closure of palatal fistulasYufeng WangFangling YangWeilong LiuXiaofen FanYong LuPurposeA palatal fistula following the closure of palatal clefts remains a difficult clinical complication. Surgical treatment of fistulas is often complicated, with high recurrence rates. We present our results of fistula closure augmented with GTR, a resorbable membrane designed to promote guided tissue regeneration.MethodsWe reviewed the records of 75 patients operated on between 2008 and 2022 for closure of the palatal fistula. The patients included 24 who underwent fistula closure augmented with GTR and 51 who underwent fistula closure with other techniques. We reviewed the age at surgery, sex, fistula location, and outcome. Operation success was defined as an asymptomatic patient with a healed fistula on clinical examination.ResultsThe overall fistula closure rate was 79.1% in the GTR group and 76.5% in the non-GTR group(p = 0.79).DiscussionThe success rate of fistula closure in the GTR group is comparable to that in the non-GTR group in this study. An additional advantage is that this procedure does not require harvesting any autologous tissue and reduces tissue damage in the long term.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1134934/fullGTRtwo-layer repairspalatal fistula repairsuccess ratesreduce additional damage |
spellingShingle | Yufeng Wang Fangling Yang Weilong Liu Xiaofen Fan Yong Lu Evaluation of the effect of a resorbable membrane on the closure of palatal fistulas Frontiers in Surgery GTR two-layer repairs palatal fistula repair success rates reduce additional damage |
title | Evaluation of the effect of a resorbable membrane on the closure of palatal fistulas |
title_full | Evaluation of the effect of a resorbable membrane on the closure of palatal fistulas |
title_fullStr | Evaluation of the effect of a resorbable membrane on the closure of palatal fistulas |
title_full_unstemmed | Evaluation of the effect of a resorbable membrane on the closure of palatal fistulas |
title_short | Evaluation of the effect of a resorbable membrane on the closure of palatal fistulas |
title_sort | evaluation of the effect of a resorbable membrane on the closure of palatal fistulas |
topic | GTR two-layer repairs palatal fistula repair success rates reduce additional damage |
url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1134934/full |
work_keys_str_mv | AT yufengwang evaluationoftheeffectofaresorbablemembraneontheclosureofpalatalfistulas AT fanglingyang evaluationoftheeffectofaresorbablemembraneontheclosureofpalatalfistulas AT weilongliu evaluationoftheeffectofaresorbablemembraneontheclosureofpalatalfistulas AT xiaofenfan evaluationoftheeffectofaresorbablemembraneontheclosureofpalatalfistulas AT yonglu evaluationoftheeffectofaresorbablemembraneontheclosureofpalatalfistulas |