Fistula incidence and predictors of fistula occurrence after cleft palate repair: Two-stage closure versus one-stage closure

Cleft Palate-Craniofacial Journal

Volumn 47, Issue 6, 2010, Pages 623-630

  Landheer, J A ^a   Breugem, C C ^b   Van Mink Der Molen, A B ^b  

^a Utrecht Medical Center   (Netherlands)

^b UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

Author keywords

Cleft palate; Cleft width; Oronasal fistula; Two stage closure

Indexed keywords

ARTICLE; CLEFT LIP PALATE; CLEFT PALATE; FEMALE; FISTULA; FOLLOW UP; GENDER; HUMAN; INCIDENCE; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SURGICAL RISK; SURGICAL TECHNIQUE; TREATMENT OUTCOME;

AGE FACTORS; ANALYSIS OF VARIANCE; CHILD; CLEFT PALATE; CLINICAL COMPETENCE; FEMALE; FISTULA; FOLLOW-UP STUDIES; HUMANS; INCIDENCE; MALE; NOSE DISEASES; ORAL FISTULA; ORAL SURGICAL PROCEDURES; RECONSTRUCTIVE SURGICAL PROCEDURES; RECURRENCE; RETROSPECTIVE STUDIES; RISK FACTORS; SEX FACTORS; SYNDROME;

EID: 78549245592     PISSN: 10556656     EISSN: 15451569     Source Type: Journal    
DOI: 10.1597/09-069     Document Type: Article

References (36)

1. Becker M, Svensson H, Sarnas KV, Jacobsson S. Von Langenbeck or Wardill procedures for primary palatal repair in patients with isolated cleft palate-speech results. Scand J Plast Reconstr Hand Surg. 2000;34:27-32. (Pubitemid 30495384)
2. Bekerecioglu M, Isik D, Bulut O. Comparison of the rate of palatal fistulisation after two-flap and four-flap palatoplasty. Scand J Plast Reconstr Hand Surg. 2005;39:287-289. (Pubitemid 41658676)
3. Bresnick S, Walker J, Clarke-Sheehan N, Reinisch J. Increased fistula risk following palatoplasty in Treacher Collins syndrome. Cleft Palate Craniofac J. 2003;40:280-283. (Pubitemid 36613188)
4. Brothers DB, Dalston RW, Peterson HD, Lawrence WT. Comparison of the Furlow double-opposing Z-palatoplasty with the Wardill-Kilner procedure for isolated clefts of the soft palate. Plast Reconstr Surg. 1995;95:969-977.
5. Cohen SR, Kalinowski J, LaRossa D, Randall P. Cleft palate fistulas: a multivariate statistical analysis of prevalence, etiology and surgical management. Plast Reconstr Surg. 1991;87:1041-1047.
6. De Mey A, Swennen G, Malevez C, George M, Mansbach AL. Long-term follow-up of UCLP at the Reine Fabiola Children's Hospital. B-ENT. 2006;2(suppl 4):44-50. (Pubitemid 47528897)
7. Emory RE, Clay RP, Bite U, Jackson IT. Fistula formation and repair after palatal closure: an institutional perspective. Plast Reconstr Surg. 1997;99:1535-1538. (Pubitemid 27203582)
8. Friede H, Enemark H. Long-term evidence for favorable midfacial growth after delayed hard palate repair in UCLP patients. Cleft Palate Craniofac J. 2001;38:323-329. (Pubitemid 32641159)
9. Gunther E, Wisser JR, Cohen MA, Brown AS. Palatoplasty: Furlow's double reversing Z-plasty versus intravelar veloplasty. Cleft Palate Craniofac J. 1998;35:546-549. (Pubitemid 28522954)
10. Holland S, Gabbay JS, Heller JB, O'Hara C, Hurwitz D, Ford MD, Sauder AS, Bradley JP. Delayed closure of the hard palate leads to speech problems and deleterious maxillary growth. Plast Reconstr Surg. 2007;119:1302-1310. (Pubitemid 46673591)
11. Inman DS, Thomas P, Hodgkinson PD, Reid CA. Oro-nasal fistula development and velopharyngeal insufficiency following primary cleft palate surgery - an audit of 148 children born between 1985 and 1997. Br J Plast Surg. 2005;58:1051-1054.
12. Khosla RK, Mabry K, Castiglione CL. Clinical outcomes of the Furlow Z-plasty for primary cleft palate repair. Cleft Palate Craniofac J. 2008;45:501-510.
13. Lehner B, Wiltfang J, Strobel-Schwarthoff K, Benz M, Hirschfelder U, Neukam FW. Influence of early hard palate closure in unilateral and bilateral cleft lip and palate on maxillary transverse growth during the first four years of age. Cleft Palate Craniofac J. 2003;40:126-130. (Pubitemid 36314424)
14. Mackay D, Mazahari M, Graham WP, Jeffords K, Leber D, Gorman P. Incidence of operative procedures on cleft lip and palate patients. Ann Plast Surg. 1999;42:251-253.
15. Mak SYA, Wong WH, Or CK, Poon AM. Incidence and cluster occurrence of palatal fistula after Furlow palatoplasty by a single surgeon. Ann Plast Surg. 2006;57:55-59.
16. Muzaffar AR, Byrd HS, Rohrich RJ, Johs DJ, LeBlanc D, Beran SJ, Anderson C, Papaioannou A. Incidence of cleft palate fistula: an institutional experience with two-stage palatal repair. Plast Reconstr Surg. 2001;108:1515-1518. (Pubitemid 33032610)
17. Nollet PJ, Katsaros C, Huyskens RW, Borstlap WA, Bronkhorst EM, Kuijpers-Jagtman AM. Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure. Int J Oral Maxillofac Surg. 2008;37:123-130. (Pubitemid 351220978)
18. Nollet PJ, Katsaros C, van't Hof MA, Semb G, Shaw WC, Kuijpers-Jagtman AM. Treatment outcome after two-stage palatal closure in unilateral cleft lip and palate: a comparison with Eurocleft. Cleft Palate Craniofac J. 2005;42:512-516.
19. Ogata H, Nakajima T, Onishi F, Tamada I, Hikosaka M. Cleft palate repair using a marginal musculo-mucosal flap. Cleft Palate Craniofac J. 2006;43:651-655. (Pubitemid 44788767)
20. Owman-Moll P, Katsaros C, Friede H. Development of the residual cleft in the hard palate after velar repair in a 2-stage palatal repair regimen. J Orofac Orthop. 1998;59:286-300.
21. Parwaz MA, Sharma RK, Parashar A, Nanda V, Biswas G, Makkar S. Width of cleft palate and postoperative palatal fistula - do they correlate? J Plast Reconstr Aesthet Surg. 2009;62:1559-1563.
22. Phua YS, De Chalain T. Incidence of oronasal fistulae and velopharyngeal insufficiency after cleft palate repair: an audit of 211 children born between 1990 and 2004. Cleft Palate Craniofac J. 2008;45:172-178.
23. Precious DS. The Eurocleft project 1996-2000: overview. J Craniomaxillofac Surg. 2001;29:141-142.
24. Rohrich RJ, Rowsell AR, Johns DF, Drury MA, Grieg G, Watson DJ, Godfrey AM, Poole MD. Timing of hard palatal closure: a critical long-term analysis. Plast Reconstr Surg. 1996;98:236-246. (Pubitemid 26250472)
25. Rosenstein SW, Grasseschi M, Dado DV. A long-term retrospective outcome assessment of facial growth, secondary surgical need and maxillary lateral incisor status in a surgical-orthodontic protocol for complete clefts. Plast Reconstr Surg. 2003;111:1-13. (Pubitemid 36015145)
26. Ross RB. Treatment variables affecting facial growth in complete unilateral cleft lip and palate. Cleft Palate J. 1987;24:5-77.
27. Salyer KE, Sng KWE, Perry EE. Two-flap palatoplasty: 20-year experience and evolution of surgical technique. Plast Reconstr Surg. 2006;118:193-204.
28. Savaci N, Hosnuter M, Zekeriya T, Demir A. Maxillofacial morphology in children with complete unilateral cleft lip and palate treated by one-stage simultaneous repair. Plast Reconstr Surg. 2005;115:1509-1517. (Pubitemid 40604718)
29. Schendel SA, Lorenz HP, Dagenais D, Hopkins E, Chang J. A single surgeon's experience with the Delaire palatoplasty. Plast Reconstr Surg. 1999;104:1993-1997.
30. Schultz RC. Management and timing of cleft palate fistula repair. Plast Reconstr Surg. 1986;78:739-747.
31. Schweckendiek W, Doz P. Primary veloplasty: long-term results without maxillary deformity, a twenty-five year report. Cleft Palate J. 1978;15:268-274. (Pubitemid 8400914)
32. Semb G.Astudy of facial growth in patients with bilateral cleft lip and palate treated by the Oslo CLP team. Cleft Palate Craniofac J. 1991a;28:22-39.
33. Semb G. A study of facial growth in patients with unilateral cleft lip and palate treated by the Oslo CLP team. Cleft Palate Craniofac J. 1991b;28:1-21.
34. Stein S, Dunsche A, Gellrich NC, Härle F, Jonas I. One- or two-stage palate closure in patients with unilateral cleft lip and palate: comparing cephalometric and occlusal outcomes. Cleft Palate Craniofac J. 2007;44:13-22. (Pubitemid 46095267)
35. Timmons MJ, Wyatt RA, Murphy T. Speech after repair of isolated cleft palate and cleft lip and palate. Br J Plast Surg. 2001;54:377-384. (Pubitemid 32633611)
36. Wilhemi BJ, Appelt EA, Hill L, Blackwell SJ. Palatal fistulas: rare with the two-flap palatoplasty repair. Plast Reconstr Surg. 2001;107:315-318. (Pubitemid 32125270)