Fistula formation and repair after palatal closure: an institutional perspective.

Abstract:

:We retrospectively reviewed 119 consecutive patients who underwent cleft palate repair at the Mayo Clinic to determine the incidence of postoperative fistula formation, to assess possible contributing factors, and to review the methods of surgical management. Fistulas of the secondary palate were included, but nasal-alveolar fistulas and intentionally unrepaired anterior palatal fistulas were excluded. Six patients whose repairs were performed after 2.5 years of age were excluded to ensure a more uniform patient population. Cleft palate fistulas occurred in 13 of the 113 patients (11.5 percent). The median age at repair was 8.2 months, and the median follow-up period was 5.2 years. Several variables were analyzed by means of the log-rank test to determine their significance in postoperative fistula formation. Sex, extent of clefting (as estimated by the Veau classification), and type of palatal closure did not significantly affect the rate of fistula formation. However, patients who had palatal closure at an age younger than 12 months had a lower incidence of fistula formation (7.8 percent) than children whose closures were performed between the ages of 12 and 25 months (19.4 percent) (p = 0.058). The strongest predictor of the occurrence of a cleft palate fistula was the surgeon performing the procedure (p = 0.008). Fistula repair was deemed necessary in 11 of 13 patients, and 91 percent of these fistulas were healed with a single operation. Most of these fistulas were closed by using local flaps and two-layered closures. Cleft palate repair carries a significant but acceptable risk of fistula formation, which can be managed with local flaps. Fistula occurrence is related most to the experience level of the operating surgeon.

journal_name

Plast Reconstr Surg

authors

Emory RE Jr,Clay RP,Bite U,Jackson IT

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

1535-8

issue

6

eissn

0032-1052

issn

1529-4242

journal_volume

99

pub_type

杂志文章
  • The angiogenic and adipogenic modes of adipose tissue after free fat grafting.

    abstract:BACKGROUND:The major drawback of adipose grafting is its clinical unpredictability, which leads to surgeon and patient dissatisfaction. The mechanisms underlying angiogenesis and regeneration of the graft tissue are still unclear. METHODS:Mouse adipose tissue was processed using two different methods (fragmental and i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000965

    authors: Dong Z,Peng Z,Chang Q,Zhan W,Zeng Z,Zhang S,Lu F

    更新日期:2015-03-01 00:00:00

  • Hand tumors: II. Benign and malignant bone tumors of the hand.

    abstract::The incidence of both benign and malignant bone tumors arising in the hand is relatively low in comparison with other locations. Although the overwhelming majority of these tumors are benign, even benign tumors can be locally destructive and compromise hand function. Intralesional tumor excision is the most appropriat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000000178

    authors: Henderson M,Neumeister MW,Bueno RA Jr

    更新日期:2014-06-01 00:00:00

  • Distraction osteogenesis of costochondral bone grafts in the mandible.

    abstract::Costochondral grafting for reconstruction of the Pruzansky type III mandible has given variable results. Lengthening of the rib graft by means of distraction had been advocated when subsequent growth of the grafted mandible is inadequate. This retrospective study reviews a series of patients with mandibular costochond...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200203000-00017

    authors: Stelnicki EJ,Hollier L,Lee C,Lin WY,Grayson B,McCarthy JG

    更新日期:2002-03-01 00:00:00

  • Determining the Oncologic Safety of Autologous Fat Grafting as a Reconstructive Modality: An Institutional Review of Breast Cancer Recurrence Rates and Surgical Outcomes.

    abstract:BACKGROUND:The increasing use of autologous fat grafting in breast cancer patients has raised concerns regarding its oncologic safety. This study evaluated patient outcomes and tumor recurrence following mastectomy reconstruction and autologous fat grafting. METHODS:Retrospective chart review identified patients who u...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003576

    authors: Cohen O,Lam G,Karp N,Choi M

    更新日期:2017-09-01 00:00:00

  • Otoplasty: the experience of 100 consecutive patients.

    abstract::Although prominent ears are the most common congenital deformity in the head and neck region, only approximately 8 percent of patients who present for treatment of this deformity will have some family history of the abnormality. More than 200 techniques have been described for correction of this deformity, indicating ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200109150-00038

    authors: Yugueros P,Friedland JA

    更新日期:2001-09-15 00:00:00

  • A custom-made nasal implant: prefabrication from curing of silicone adhesive.

    abstract::When nasal augmentation is performed with implants fashioned from a piece of solid silicone block or commercially available prefabricated implants, the precise sculpturing of the ventral surface of the implant in order to conform to the convex contour of the nose is often difficult to achieve, increasing the possibili...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199602000-00026

    authors: Han K,Kang J

    更新日期:1996-02-01 00:00:00

  • Determining the Safety and Efficacy of Gluteal Augmentation: A Systematic Review of Outcomes and Complications.

    abstract:BACKGROUND:Augmentation gluteoplasty has been performed more frequently in the past decade, with over 21,000 procedures performed in the past year alone. The most popular methods for buttock augmentation involve silicone prostheses and autologous fat grafting. A comparison of complications of these two techniques does ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000002005

    authors: Sinno S,Chang JB,Brownstone ND,Saadeh PB,Wall S Jr

    更新日期:2016-04-01 00:00:00

  • The Caudal Septum Columellar Strut Graft: An Alternative for Tip Support.

    abstract:UNLABELLED:The authors describe a convenient option for obtaining a columellar strut graft without the need for harvesting septal or auricular cartilage. Its utility has been shown by use in almost 10 percent of 569 patients in the senior author's (D.A.H.) series. CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, V. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001457

    authors: Hidalgo DA,Doft MA

    更新日期:2015-09-01 00:00:00

  • Results with Furlow palatoplasty in management of velopharyngeal insufficiency.

    abstract::A retrospective study was undertaken to assess speech outcomes in patients undergoing Furlow palatoplasty. Since 1994, the authors have used the position of the levator veli palatini musculature to determine type of surgical intervention recommended for the management of velopharyngeal insufficiency. Furlow palatoplas...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200107000-00004

    authors: Sie KC,Tampakopoulou DA,Sorom J,Gruss JS,Eblen LE

    更新日期:2001-07-01 00:00:00

  • Correction of asymmetries of the breasts.

    abstract::The problem of asymmetries of the breasts is discussed. The technical details of one operation for unilateral reduction are described. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197606000-00003

    authors: Elsahy NI

    更新日期:1976-06-01 00:00:00

  • A 15-year experience with primary breast augmentation.

    abstract:BACKGROUND:This study evaluated patients who underwent primary breast surgery within a single group practice from 1994 to 2009. Reoperations were divided by reoperation reason into total reoperations and implant-specific reoperations. The authors hypothesized that the implant-specific reoperation rate will provide the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318205f41b

    authors: Codner MA,Mejia JD,Locke MB,Mahoney A,Thiels C,Nahai FR,Hester TR,Nahai F

    更新日期:2011-03-01 00:00:00

  • Repair of thoracoabdominal ectopia cordis with myocutaneous flaps and intraoperative tissue expansion.

    abstract::Thoracoabdominal ectopia cordis is a congenital malposition of the heart and abdominal viscera, which are externally situated, carrying an extremely poor prognosis. We report a case of a complete thoracoabdominal ectopia cordis that had undergone successful coverage over the exposed heart and abdominal contents. A few...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199501000-00026

    authors: Hochberg J,Ardenghy MF,Gustafson RA,Murray GF

    更新日期:1995-01-01 00:00:00

  • Allogeneic Decellularized Muscle Scaffold Is Less Fibrogenic and Inflammatory than Acellular Dermal Matrices in a Rat Model of Skeletal Muscle Regeneration.

    abstract:BACKGROUND:Skeletal muscle trauma can produce grave functional deficits, but therapeutic options remain limited. The authors studied whether a decellularized skeletal muscle scaffold would provide benefits in inducing skeletal muscle regeneration over acellular dermal matrices. METHODS:Eighty-two rat muscle defects we...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006922

    authors: Iyer H,Lanier S,Dolivo D,Arenas GA,Hong SJ,Mustoe TA,Galiano RD

    更新日期:2020-07-01 00:00:00

  • The use of cartilage grafts in primary aesthetic rhinoplasty.

    abstract::Our experience with the use of cartilage grafts in 430 primary rhinoplasties is presented. We find grafts indicated when operating on small noses with thick skin to increase and define the dorsum, to add projection and angularity to the tip, to project the columella, and to correct the acute nasolabial angle. The proc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198105000-00003

    authors: Ortiz-Monasterio F,Olmedo A,Oscoy LO

    更新日期:1981-05-01 00:00:00

  • Surgical anatomy of the SMAS: a reinvestigation.

    abstract::There has been considerable disagreement in descriptions of the SMAS. Fresh cadaver dissection, combining anatomic dissection done with the aid of the operating microscope and histologic cross section of facial tissues, was performed in 24 facial halves. Histologic preparation was made on tissue macrosections, each 10...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Gosain AK,Yousif NJ,Madiedo G,Larson DL,Matloub HS,Sanger JR

    更新日期:1993-12-01 00:00:00

  • Aneurysmal bone cyst of the orbit associated with fibrous dysplasia.

    abstract::Aneurysmal bone cyst is a rare but recognized osseous lesion of the orbit. We report the presentation, treatment, and postoperative course of an orbital aneurysmal bone cyst in a patient with McCune-Albright syndrome. To our knowledge, this report represents the first description of aneurysmal bone cyst of the orbit i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199508000-00029

    authors: Lucarelli MJ,Bilyk JR,Shore JW,Rubin PA,Yaremchuk MJ

    更新日期:1995-08-01 00:00:00

  • Free proximal gracilis muscle and its skin paddle compound flap transplantation for complex facial paralysis.

    abstract::Gracilis functioning free-muscle transplantation for the correction of pure facial paralysis has been a preferred method used by many reconstructive microsurgeons. However, for complex facial paralysis, the deficits include facial paralysis along with soft-tissue, mucosa, and/or skin defects. No adequate solution has ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000096092.09655.63

    authors: Chuang DC,Mardini S,Lin SH,Chen HC

    更新日期:2004-01-01 00:00:00

  • Objective Clinical Assessment of Posture Patterns after Implant Breast Augmentation.

    abstract:BACKGROUND:An increased weight of the breasts causes several spinal postural alterations that reduce the ability to perform dynamic tasks requiring a stable balance. The effects of the increased weight of the breasts on static posture after implant breast augmentation have not been investigated yet. METHODS:Forty volu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001454

    authors: Nicoletti G,Mandrini S,Finotti V,Dall'Angelo A,Malovini A,Chierico S,Faga A,Dalla Toffola E

    更新日期:2015-08-01 00:00:00

  • Critical ischemia times and survival patterns of experimental pig flaps.

    abstract::Previous work on critical ischemia time suggested (1) a greater susceptibility of myocutaneous flaps over skin flaps to the ischemia reperfusion injury and (2) that duration of ischemia may affect the survival area of a flap. Using a pig model, 55 animals were operated on and the critical ischemia times and survival p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Picard-Ami LA Jr,Thomson JG,Kerrigan CL

    更新日期:1990-10-01 00:00:00

  • Photoaged Skin Therapy with Adipose-Derived Stem Cells.

    abstract:BACKGROUND:The major intrinsic cause of facial skin degeneration is age, associated with extrinsic factors such as exposure to sun. Its major pathologic causes are degeneration of the elastin matrix, with loss of oxytalan and elaunin fibers in the subepidermal region, and actinic degeneration of elastin fibers that los...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/PRS.0000000000006867

    authors: Charles-de-Sá L,Gontijo-de-Amorim NF,Rigotti G,Sbarbati A,Bernardi P,Benati D,Bizon Vieira Carias R,Maeda Takiya C,Borojevic R

    更新日期:2020-06-01 00:00:00

  • Treatment of breast animation deformity in implant-based reconstruction with pocket change to the subcutaneous position.

    abstract:UNLABELLED:Breast animation may be an unfortunate result of subpectoral implant-based reconstruction following mastectomy. This article reviews a novel approach to the treatment of animation deformity in cases of reconstruction, whereby the pectoralis major muscle is sutured down to the chest wall and the implant is tr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001277

    authors: Hammond DC,Schmitt WP,O'Connor EA

    更新日期:2015-06-01 00:00:00

  • Single-stage management of 74 consecutive sternal wound complications with pectoralis major myocutaneous advancement flaps.

    abstract::The optimal management of sternal wound complications remains controversial. Since 1985, we have utilized a combination of immediate, aggressive debridement with simultaneous repair using bilateral pectoralis major myocutaneous advancement flaps, regardless of the degree of infection. As compared with the use of dista...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199406000-00016

    authors: Hugo NE,Sultan MR,Ascherman JA,Patsis MC,Smith CR,Rose EA

    更新日期:1994-06-01 00:00:00

  • The venous skin graft method for repairing skin defects of the fingers.

    abstract::A venous skin graft for the treatment of skin defects in a finger is described. This procedure involves taking a flap from the forearm together with the subcutaneous vein and anastomosing both ends of this vein to the digital artery and vein, respectively. Thirteen difficult finger wounds were resurfaced with such a v...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198702000-00016

    authors: Yoshimura M,Shimada T,Imura S,Shimamura K,Yamauchi S

    更新日期:1987-02-01 00:00:00

  • Quality of life long-term after body contouring surgery following bariatric surgery: sustained improvement after 7 years.

    abstract:BACKGROUND:Bariatric surgery for morbid obesity results in massive weight loss and improvement of health and quality of life. A downside of the major weight loss is the excess of overstretched skin, which may influence the patient's quality of life by causing functional and aesthetic problems. The purpose of the curren...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318267d51d

    authors: van der Beek ESJ,Geenen R,de Heer FAG,van der Molen ABM,van Ramshorst B

    更新日期:2012-11-01 00:00:00

  • Reconstructive surgery training: increased operative volume in plastic surgery residency programs.

    abstract:BACKGROUND:Practitioners in other surgical specialties have increasingly advanced their volume of reconstructive procedures traditionally served by plastic surgeons. Because there has not been a previous specialty training comparison, the average operative reconstructive volume of graduating plastic surgery residents w...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,收录出版

    doi:10.1097/PRS.0b013e3182402f17

    authors: Tanna N,Boyd JB,Kawamoto HK,Miller TA,Da Lio AL,Azhar H,Bradley JP

    更新日期:2012-03-01 00:00:00

  • Selection of topical antimicrobial agents for cultured skin for burns by combined assessment of cellular cytotoxicity and antimicrobial activity.

    abstract::Cultured epidermal skin has become an adjunctive therapy for treatment of major burn injuries, but its effectiveness is greatly limited due to destruction by microbial contamination. To evaluate candidate drugs for use with cultured skin, a combined cytotoxicity-antimicrobial assay system was developed for determinati...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199309000-00018

    authors: Boyce ST,Holder IA

    更新日期:1993-09-01 00:00:00

  • Segmental bone and cartilage reconstruction of major nasal dorsal defects.

    abstract::This article describes the results of segmental bone and cartilage reconstruction of significant nasal dorsal defects. Solid bone graft reconstructions frequently lead to an unnatural hardness of the nasal tip. Rib cartilage reconstructions are pliable and soft but are a problem because they easily undergo warpage. Th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200007000-00032

    authors: Neu BR

    更新日期:2000-07-01 00:00:00

  • Individual CAD/CAM fabricated glass-bioceramic implants in reconstructive surgery of the bony orbital floor.

    abstract:BACKGROUND:The aim of the study was to present a set of preliminary cases from an ongoing program of reconstructive procedures using a new technique in the treatment of severe enophthalmos and diplopia after the primary treatment of orbital floor fractures had rendered insufficient results. METHODS:Glass-bioceramic im...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000200770.83864.bc

    authors: Klein M,Glatzer C

    更新日期:2006-02-01 00:00:00

  • Harvesting fat from the infratemporal fossa.

    abstract::As part of forehead rejuvenation and surgical treatment of migraine headaches, the mass of the corrugator supercilii, the procerus, and the depressor supercilii muscles is replaced with fat for optimal aesthetic contouring of this region and to help prevent recurrence of the glabellar lines. The authors propose a new ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000128825.62390.73

    authors: Guyuron B,Rose K

    更新日期:2004-07-01 00:00:00

  • Effect of bimaxillary rotational setback surgery on upper airway structure in skeletal class III deformities.

    abstract:BACKGROUND:Upper airway narrowing has been a concern of mandibular setback. The aims of this study were (1) to evaluate the effect of bimaxillary rotational setback surgery on upper airway structure in patients with skeletal class III deformities, and (2) to compare the preoperative and postoperative upper airways of c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000913

    authors: Hsieh YJ,Chen YC,Chen YA,Liao YF,Chen YR

    更新日期:2015-02-01 00:00:00