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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Main Authors: Yufeng Wang, Fangling Yang, Weilong Liu, Xiaofen Fan, Yong Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Surgery
Subjects:
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.
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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
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AT xiaofenfan evaluationoftheeffectofaresorbablemembraneontheclosureofpalatalfistulas
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