Cleft Palatal Fistula: Perspectives on Management With Review of Literature

2021 ◽  
Vol 2 (1) ◽  
pp. 76-81
Author(s):  
Leon Alexander
Keyword(s):  
Cleft Palate ◽  
Functional Outcomes ◽  
Review Of Literature ◽  
Palatal Fistula ◽  
Affected Child ◽  
Tension Free ◽  
Effective Barrier ◽  
Neurovascular Pedicle ◽  
Watertight Closure

The goals of cleft palate surgery are an effective barrier between the nasal and oral air passages leading to functional outcomes in terms of speech, feeding and hearing for the affected child. But unfortunately, these goals are sometimes not easily attained and complicated by Cleft Palate Fistulas (CPFs), which adversely affects not only the child but also the parents. The principles of cleft palate surgery include a two-layer, tension-free, watertight closure with preservation of the greater palatine neurovascular pedicle. This article aims to give a broad review of the current perspectives in the management of this distressing complication.

scholarly journals Single-layer Closure with Tongue Flap for Palatal Fistula in Cleft Palate Patients

2016 ◽  
Vol 4 (8) ◽  
pp. e852 ◽  
Author(s):  
Abdulla K. Alsalman ◽  
Emran A. Algadiem ◽  
Mufeed Saeed Alwabari ◽  
Fatimah Jawad Almugarrab
Keyword(s):  
Cleft Palate ◽  
Single Layer ◽  
Palatal Fistula ◽  
Tongue Flap

scholarly journals Tongue flap as salvage procedure for recurrent and large palatal fistula after cleft palate repair

2018 ◽  
Vol 15 (2) ◽  
pp. 88
Author(s):  
Advait Prakash ◽  
Sangram Singh ◽  
Shailesh Solanki ◽  
Bhavesh Doshi ◽  
Venkatesh Kolla ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Salvage Procedure ◽  
Palatal Fistula ◽  
Tongue Flap ◽  
Cleft Palate Repair ◽  
Palate Repair

Effects of Cleft Width and Veau Type on Rates of Palatal Fistula and Velopharyngeal Insufficiency after Cleft Palate Repair

2012 ◽  
Vol 130 ◽  
pp. 23 ◽  
Author(s):  
Nance Yuan ◽  
Amir H. Dorafshar ◽  
Keith E. Follmar ◽  
Courtney Pendleton ◽  
Richard J. Redett
Keyword(s):  
Cleft Palate ◽  
Velopharyngeal Insufficiency ◽  
Palatal Fistula ◽  
Cleft Palate Repair ◽  
Palate Repair

Systematic review of literature: functional outcomes of implant-prosthetic treatment in patients with surgical resection for oral cavity tumors

2016 ◽  
Vol 8 (2) ◽  
pp. e12207 ◽  
Author(s):  
Mohamed Moustafa Said ◽  
Takafumi Otomaru ◽  
Yuka Sumita ◽  
Katherine C.M. Leung ◽  
Zafrulla Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Cavity ◽  
Surgical Resection ◽  
Functional Outcomes ◽  
Review Of Literature

Risk of Persistent Palatal Fistula in Patients With Cleft Palate

2015 ◽  
Vol 17 (2) ◽  
pp. 126-130 ◽  
Author(s):  
Mairaj K. Ahmed ◽  
Anthony L. Maganzini ◽  
Paul R. Marantz ◽  
Joseph J. Rousso
Keyword(s):  
Cleft Palate ◽  
Palatal Fistula

scholarly journals Does Hamulotomy during Palatoplasty Have Any Effect on Hearing Ability in Nonsyndromic Cleft Palate Patients? A Prospective, Single Blind, Comparative Study

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Anuj Jain ◽  
Pranali Nimonkar ◽  
Nitin Bhola ◽  
Rajiv Borle ◽  
Anendd Jadhav ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Middle Ear ◽  
Function Evaluation ◽  
Tension Free ◽  
Hearing Ability ◽  
Significant Difference ◽  
Tube Dysfunction ◽  
The Difference ◽  
Free Closure ◽  
Age Range

The primary goal of palatoplasty is to achieve a tension-free palatal closure ensuring no postoperative complications. Many surgeons fracture the pterygoid hamulus to minimize tension during palatoplasty. However, this maneuver gained criticism by some authors on the grounds that it may lead to Eustachian Tube dysfunction. Our study intended to figure out the relationship of hamulus fracture with the postoperative state of middle ear in cleft palate children. Fifty consecutive cleft palate patients with an age range of 10 months to 5 years were recruited. All the patients were assigned to either hamulotomy or nonhamulotomy group preoperatively. The patients were subjected to otoscopic examination and auditory function evaluation by brainstem evoked response audiometry (BERA) preoperatively and 1 month and 6 months postoperatively. Otoscopy revealed that the difference in the improvement of middle ear status in both groups was statistically insignificant. Moreover, there was no significant difference in the BERA outcomes of the fracture and nonfracture populations. Complication rate in both groups was also statistically not significant. It can be concluded that hamulotomy does not have any effect on the hearing ability in cleft palate population, so hamulotomy can be performed for tension-free closure during palatoplasty.

A rare complication after septoplasty procedure in a misdiagnosed submucous cleft palate case: Palatal fistula

2010 ◽  
Vol 63 (8) ◽  
pp. 1382-1384 ◽  
Author(s):  
Burak Ersoy ◽  
Sarper Yılmaz ◽  
Hakan Şirinoğlu ◽  
Özhan Çelebiler ◽  
Ayhan Numanoğlu
Keyword(s):  
Cleft Palate ◽  
Rare Complication ◽  
Palatal Fistula ◽  
Submucous Cleft Palate

scholarly journals Untreated Cleft Palate a Unique Surgical Contraindication in Carcinoma of the Pyriform Fossa

2012 ◽  
Vol 2 (1) ◽  
pp. 33-36
Author(s):  
Sudhir M Naik
Keyword(s):  
Cleft Palate ◽  
Functional Outcomes ◽  
Total Laryngectomy ◽  
Myocutaneous Flap ◽  
Current Management ◽  
Pharyngeal Wall ◽  
Pyriform Fossa ◽  
Swallowing Problems ◽  
History Of ◽  
The Right

ABSTRACT Background/objectives Swallowing problems following total laryngectomy are significantly lesser compared to other partial laryngectomies as a permanent seperation between the trachea and esophagus is seen in the earlier. Sometimes, the patient complains of difficulty in propelling bolus through the oral cavity and pharynx as a result of the loss of hyoid bone, which is the anchor for the tongue. The increased pressure in the narrowed pharyngoesophageal segment following laryngectomy requires the tongue to move with greater force. Setting Department of Head and Neck Oncosurgery, Kidwai Memorial Institute of Oncology, Bengaluru. Case report A 52-year-old man with history of difficulty and pain while swallowing and diagnosed as squamous cell carcinoma of the right pyriform fossa extending to the pharyngoepiglottic fold. Incidently, the patient had an old untreated cleft palate. Assessment of the pharyngeal wall involvement on direct laryngoscopy proved that pectoralis major myocutaneous flap patch was needed to reconstruct the pharyngeal lumen. Cleft palate proved a contraindication for surgery as the oral swallowing phase would be affected. Conclusion Current management protocols of hypopharyngeal cancers include multifactorial assessment of anatomical and functional outcomes and rehabilitation. Even though no literature is found stating cleft palate as the contraindication for total laryngectomy, chemoradiation was preferred citing swallowing problems. How to cite this article Naik SM. Untreated Cleft Palate a Unique Surgical Contraindication in Carcinoma of the Pyriform Fossa. Int J Phonosurg Laryngol 2012;2(1):33-36.

Sign in / Sign up

Export Citation Format

Share Document