[Palato velar fistulae in cleft palate].
La fistule palatine ou vélaire dans les fentes.
Cleft palate
Fente palatine
Fistules palatines
Palate fistulae
Sequelae
Séquelles
Journal
Annales de chirurgie plastique et esthetique
ISSN: 1768-319X
Titre abrégé: Ann Chir Plast Esthet
Pays: France
ID NLM: 8305839
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
20
05
2019
accepted:
22
05
2019
pubmed:
11
6
2019
medline:
7
3
2020
entrez:
11
6
2019
Statut:
ppublish
Résumé
Palatal fistulas after primary closure of a cleft palate are extremely variable ranging from 15 to 35%. When they are symptomatic, these fistulas affect feeding (nasal regurgitation to liquids, discharge, bad smells) and phonation (hypernasality that can hinder the precise assessment of velar incompetence). First of all, it is important to analyze the cause of the fistula, it helps to avoid early recurrences. The correction must apply to respect the 2 mucosal planes (nasal mucosa and oral mucosa), the only guarantee of surgical success. Different techniques are usually described: lingual flap, lifting of all palatal mucosa, flap hinge, blaster, FAMM. In all cases, postoperative care plays a key role in the success of the surgical correction.
Identifiants
pubmed: 31178309
pii: S0294-1260(19)30087-1
doi: 10.1016/j.anplas.2019.05.010
pii:
doi:
Types de publication
Journal Article
Review
Langues
fre
Sous-ensembles de citation
IM
Pagination
406-412Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.