Pakistan Comprehensive Fistula Classification: A Novel Scheme and Algorithm for Management of Palatal Fistula/Dehiscence.

Abstract:

BACKGROUND:It is not easy to find a management-based classification of palatal fistula in the literature. A few attempts have been made to classify the wide variety of fistulae that do not describe the fistula details comprehensively and guide toward its management. The authors have come across a wide variety of fistulae that could not be classified according to any of the prevailing classification systems. The presented classification gives a clear and exact understanding of location and size of fistula/dehiscence. Palatal function has been included as one of the important determinants for devising a management plan. Based on this classification, the authors have proposed an algorithm that encompasses clear guidelines for surgical treatment of these fistulae. METHODS:Over the past 15 years, the authors' team operated on 2537 palatal fistula patients. The medical records of these patients were reviewed to determine the location, size, and velopharyngeal competence. A new classification and algorithm were developed. RESULTS:Of 2537 patients, 2258 had midline fistulae, 208 had lateral fistulae, and 53 had subtotal fistulae. There were 18 patients with dehiscence. Recurrence developed in 181 patients. CONCLUSION:The authors believe that this classification and algorithm can help follow a practical approach to manage palatal fistulae and dehiscence.

journal_name

Plast Reconstr Surg

authors

Fayyaz GQ,Gill NA,Ishaq I,Aslam M,Chaudry A,Ganatra MA,Obaid O,Tarar MN,Chen PK,Laub DR

doi

10.1097/PRS.0000000000005169

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

140e-151e

issue

1

eissn

0032-1052

issn

1529-4242

pii

00006534-201901000-00045

journal_volume

143

pub_type

杂志文章
  • Facial Reanimation: Basic Surgical Tools and Creation of an Effective Toolbox for Treating Patients with Facial Paralysis. Part A: Functional Muscle Transfers in the Long-Term Facial Palsy Patient.

    abstract::The literature on facial paralysis is vast; however, detailed videos of the basic tools of dynamic reanimation within the context of patient scenarios accompanied by detailed narrative emphasizing both technique and thought processes are not common. Although not all scenarios of facial paralysis can be discussed in on...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003025

    authors: Rozen SM

    更新日期:2017-02-01 00:00:00

  • Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap: Can We Instigate Ideological and Technological Reforms?

    abstract::Virtual surgical planning and computer-aided design and computer-aided modeling are promising technologies with a growing trend in contemporary head and neck reconstruction. Segmental mandibular reconstruction with the osteoseptocutaneous fibula flap is one of the fields in which these technologies are increasingly us...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000479998.49928.71

    authors: Deek NFAL,Wei FC

    更新日期:2016-03-01 00:00:00

  • Restoring abdominal wall integrity in contaminated tissue-deficient wounds using autologous fascia grafts.

    abstract::Necrotizing abdominal wall infections, enteric fistulae, or exposed prosthetic material after ventral hernia repair often results in a loss of abdominal wall integrity. Further surgical reconstruction with prosthetic material is usually contraindicated in the contaminated wound because of the high infection rate neces...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199804040-00014

    authors: Disa JJ,Goldberg NH,Carlton JM,Robertson BC,Slezak S

    更新日期:1998-04-01 00:00:00

  • Experience with reduction mammaplasty combined with breast conservation therapy in the treatment of breast cancer.

    abstract::As the inclusion criteria for breast conservation therapy have continued to evolve to include lower quadrant tumors, very large breasts, and central tumors, the potential for significant disfigurement after breast conservation therapy has also increased. This has led some centers to develop coordinated oncology-plasti...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000046491.87997.40

    authors: Spear SL,Pelletiere CV,Wolfe AJ,Tsangaris TN,Pennanen MF

    更新日期:2003-03-01 00:00:00

  • The use of mesh versus primary fascial closure of the abdominal donor site when using a transverse rectus abdominis myocutaneous flap for breast reconstruction: a cost-utility analysis.

    abstract:BACKGROUND:During breast reconstruction using the transverse rectus abdominis myocutaneous (TRAM) flap, the use of mesh for abdominal donor-site closure provides for a technology that potentially offers clinical benefit yet incurs an added cost. The authors' goal was to determine whether it is cost effective to use mes...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000000957

    authors: Chatterjee A,Ramkumar DB,Dawli TB,Nigriny JF,Stotland MA,Ridgway EB

    更新日期:2015-03-01 00:00:00

  • Cranial fasciitis of childhood.

    abstract::Cranial fasciitis of childhood is a benign lesion occurring superficial to or involving the cranial bones of children at a median age of 18 months, with a male sex predilection of 2:1. It is histologically described as a well-circumscribed, loose proliferation of stellate to spindle-shaped fibroblasts in a myxoid back...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199004000-00018

    authors: Coates DB,Faught P,Sadove AM

    更新日期:1990-04-01 00:00:00

  • Expanded preauricular full-thickness free skin graft.

    abstract::A preauricular skin graft with expansion for repair of a facial defect is presented. This technique preserves a more natural appearance in color, texture, and thickness than is otherwise possible and provides a larger graft than the usual preauricular graft method. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199101000-00025

    authors: Iwahira Y,Maruyama Y

    更新日期:1991-01-01 00:00:00

  • Comparison of Outcomes following Autologous Breast Reconstruction Using the DIEP and Pedicled TRAM Flaps: A 12-Year Clinical Retrospective Study and Literature Review.

    abstract:BACKGROUND:There are few studies that compare the deep inferior epigastric artery perforator (DIEP) flap to the pedicled transverse rectus abdominis myocutaneous (pTRAM) flap for use in reconstructive breast surgery. The authors examined four factors that aid in decision-making: donor-site morbidity, need for surgery r...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000001747

    authors: Knox ADC,Ho AL,Leung L,Tashakkor AY,Lennox PA,Van Laeken N,Macadam SA

    更新日期:2016-07-01 00:00:00

  • Total arm flap: an alternative method of chest-wall reconstruction.

    abstract::A highly unusual method of reconstruction was used to advantage following a massive pectoral chest-wall tumor resection that entailed unavoidable section of the subclavian and axillary vessels and the cords of the brachial plexus, irretrievably encased by tumor in the axilla. Since leaving the defunctionalized upper l...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Fuentes CE

    更新日期:1986-06-01 00:00:00

  • Early results of vermilion lip augmentation using acellular allogeneic dermis: an adjunct in facial rejuvenation.

    abstract::The definitive approach to lip augmentation has yet to be defined. Herein is described a technique using acellular allogeneic dermal grafts that is easy, effective, and reproducible. Our results over the past 2 years include 47 patients (94 grafts). Three grafts to the upper lip have exhibited significant resorption, ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200001000-00065

    authors: Rohrich RJ,Reagan BJ,Adams WP Jr,Kenkel JM,Beran SJ

    更新日期:2000-01-01 00:00:00

  • Application of the dorsal metacarpal artery perforator flap for resurfacing soft-tissue defects proximal to the fingertip.

    abstract:BACKGROUND:The dorsal metacarpal artery perforator flap is a versatile solution for resurfacing soft-tissue defects of fingers. The authors present their experience in applying this flap for a variety of finger wounds for which conventional means may not be amenable. METHODS:Fifty-eight dorsal metacarpal artery perfor...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318221ddfa

    authors: Sebastin SJ,Mendoza RT,Chong AKS,Peng YP,Ono S,Chung KC,Lim AYT

    更新日期:2011-09-01 00:00:00

  • Dental implant outcome after primary implantation into double-barreled fibula osteoseptocutaneous free flap-reconstructed mandible.

    abstract:BACKGROUND:Functional and aesthetic mandibular reconstruction can be achieved in a single operation by means of a double-barreled fibula osteoseptocutaneous free flap with dental implants loaded simultaneously into the upper barrel. The aim of this study was to evaluate the quality and result of such reconstruction. M...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318230c6a9

    authors: Chang YM,Wallace CG,Tsai CY,Shen YF,Hsu YM,Wei FC

    更新日期:2011-12-01 00:00:00

  • Unpredictable growth pattern of costochondral graft.

    abstract::Costochondral grafts have gained increasing popularity in reconstruction of the temporomandibular joint and condyle in children. This is a report on the long-term follow-up of eight adolescent patients who underwent reconstruction of the temporomandibular joint and ramus for correction of hemifacial microsomia or trau...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Guyuron B,Lasa CI Jr

    更新日期:1992-11-01 00:00:00

  • Quadrilateral space syndrome: diagnosis and operative decompression technique.

    abstract::We present a series of five patients with quadrilateral space syndrome. All patients had the diagnosis made on the basis of (1) tenderness over the quadrilateral space, (2) paresthesia over the lateral shoulder and upper posterior arm, and (3) deltoid weakness associated with decreased shoulder abduction. A history of...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199105000-00016

    authors: Francel TJ,Dellon AL,Campbell JN

    更新日期:1991-05-01 00:00:00

  • Reducing Decisional Conflict and Enhancing Satisfaction with Information among Women Considering Breast Reconstruction following Mastectomy: Results from the BRECONDA Randomized Controlled Trial.

    abstract:BACKGROUND:Deciding whether or not to have breast reconstruction following breast cancer diagnosis is a complex decision process. This randomized controlled trial assessed the impact of an online decision aid [Breast RECONstruction Decision Aid (BRECONDA)] on breast reconstruction decision-making. METHODS:Women (n = 2...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/PRS.0000000000002538

    authors: Sherman KA,Shaw LE,Winch CJ,Harcourt D,Boyages J,Cameron LD,Brown P,Lam T,Elder E,French J,Spillane A,BRECONDA Collaborative Research Group.

    更新日期:2016-10-01 00:00:00

  • Surgical reduction of hypertrophied inferior turbinates: a comparison of electrofulguration and partial resection.

    abstract::Two adjunctive or primary surgical procedures, partial resection and electrofulguration, are popular today for reducing offending inferior turbinates. Both are relatively successful. However, there seems to be a growing consensus that judicious partial resection of the inferior turbinates is associated with a higher l...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198806000-00010

    authors: Meredith GM 2nd

    更新日期:1988-06-01 00:00:00

  • Intracranial volume and cephalic index outcomes for total calvarial reconstruction among nonsyndromic sagittal synostosis patients.

    abstract:BACKGROUND:Controversy abounds as to how craniosynostosis affects intracranial volume and whether more extensive procedures achieve superior results. Intracranial volume and cephalic index were evaluated among nonsyndromic sagittal synostosis patients undergoing cranioplasty. METHODS:Twenty-four children with isolated...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000293762.71115.c5

    authors: Heller JB,Heller MM,Knoll B,Gabbay JS,Duncan C,Persing JA

    更新日期:2008-01-01 00:00:00

  • Levels of evidence in plastic surgery research over 20 years.

    abstract:BACKGROUND:Evidence-based medicine, particularly randomized controlled trials, influences many daily decisions within the medical specialties. The structure of questions asked during the history and selection of physical examination maneuvers, diagnostic tests, and treatment regimens are all guided by evidence-based me...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000304600.23129.d3

    authors: Loiselle F,Mahabir RC,Harrop AR

    更新日期:2008-04-01 00:00:00

  • Systems-based practice: education in plastic surgery.

    abstract::The current Accreditation Council for Graduate Medical Education guidelines separate residents' education into six core competencies or subjects. The authors address the least intuitive of these, systems-based practice. In systems-based practice, educators and residents must demonstrate an awareness of and responsiven...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000245064.78012.ca

    authors: Davison SP,Cadavid JD,Spear SL

    更新日期:2007-01-01 00:00:00

  • Does steroid medication reduce facial edema following face lift surgery? A prospective, randomized study of 30 consecutive patients.

    abstract::A prospective, double-blinded study of 30 consecutive face lift patients was conducted to determine if the administration of corticosteroid medication would reduce postoperative facial edema. Half the patients received steroid medications in a random fashion. Three independent plastic surgeons who were blinded to the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006534-199607000-00001

    authors: Owsley JQ,Weibel TJ,Adams WA

    更新日期:1996-07-01 00:00:00

  • Use of the spring graft for prevention of midvault complications in rhinoplasty.

    abstract:BACKGROUND:Preservation of the middle nasal vault has increasingly become a topic of interest and concern in rhinoplasty. Resection of even a minute amount of roof during hump removal disturbs the stabilizing effect of the upper lateral cartilages, which then causes a fall of upper lateral cartilages medially toward th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000244904.07248.ce

    authors: Sen C,Iscen D

    更新日期:2007-01-01 00:00:00

  • Obtaining a gentle contour to the columella by modifying the maxillary spine.

    abstract::There are several structures involved in columellaplasty, and all affect the support and shape of the tip, the columella, and the upper lip. The present paper considers only the problem of the deformities of the maxillary spine and its lower extension over the midline, causing broadening and asymmetrical development o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198111000-00003

    authors: Stoksted P,Gutierrez C

    更新日期:1981-11-01 00:00:00

  • Early Results Using Sterilized Acellular Human Dermis (Neoform) in Post-Mastectomy Tissue Expander Breast Reconstruction.

    abstract::Acellular dermal products play a beneficial role in immediate tissue expander breast reconstruction. They provide improved coverage and support in the lower pole, allowing the pectoralis muscle to drape over most of the expander and maximize lower pole expansion. Tissue incorporation is desired without any adverse aff...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31819c4337

    authors: Losken A

    更新日期:2009-06-01 00:00:00

  • Repeated exposure to silicone gel can induce delayed hypersensitivity.

    abstract::The possible immunologic reactivity of silicone gel remains speculative and controversial. In this laboratory, a quantitative lymphocyte localization assay has been developed and well studied using pure lymphocytes collected by the technique of lymph vessel cannulation in sheep. The kinetics of antigen-specific immune...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199508000-00016

    authors: Narini PP,Semple JL,Hay JB

    更新日期:1995-08-01 00:00:00

  • A comparative analysis of healing of surgical cleft lip corrected in utero and neonates.

    abstract::We studied the healing process in surgically created cleft lips in fetal mice and compared it with that in newborn mice with cleft lips. Our purpose was to determine the time for optimal healing, defined as minimal scarring, for a repaired cleft lip. Full-thickness paramedian lip incisions were made in NMRI mice in ut...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Boon L,Manicourt D,Marbaix E,Vandenabeele M,Vanwijck R

    更新日期:1992-01-01 00:00:00

  • The Stacked Hemiabdominal Extended Perforator Flap for Autologous Breast Reconstruction.

    abstract:BACKGROUND:Options for bilateral autologous breast reconstruction in thin women are limited. The aim of this study was to introduce a novel approach to increase abdominal flap volume with the stacked hemiabdominal extended perforator (SHAEP) flap. The authors describe the surgical technique and analyze their results. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005058

    authors: Beugels J,Vasile JV,Tuinder SMH,Delatte SJ,St-Hilaire H,Allen RJ,Levine JL

    更新日期:2018-12-01 00:00:00

  • The history of injectable silicone fluids for soft-tissue augmentation.

    abstract:BACKGROUND:The debate over the legitimacy of silicone as a safe tool for soft-tissue augmentation has spanned well over half a century. Proponents concede that injections of questionable purity and/or of massive quantities have produced unfavorable outcomes. They assert that in experienced hands with "injectable-grade"...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000267580.92163.33

    authors: Chasan PE

    更新日期:2007-12-01 00:00:00

  • Carcinoma of the breast occurring in routine reduction mammaplasty.

    abstract::We report the case of an 18-year-old female undergoing routine reduction mammaplasty in whom bilateral diffuse intraductal cribriform breast carcinoma was reported upon review of the surgical specimen. This highlights the importance not only of sending specimens for pathologic examination, but also of marking the spec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198906000-00020

    authors: Dinner MI,Artz JS

    更新日期:1989-06-01 00:00:00

  • Breast reconstruction with myocutaneous flaps in previously irradiated patients.

    abstract::Breast reconstructions performed with latissimus dorsi and transverse rectus abdominis myocutaneous (TRAM) flaps in 82 patients with a history of previous chest-wall irradiation were compared with similar reconstructions in 202 nonirradiated patients to determine whether prior irradiation was associated with more freq...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Kroll SS,Schusterman MA,Reece GP,Miller MJ,Smith B

    更新日期:1994-03-01 00:00:00

  • Priorities in plastic surgery.

    abstract::The study of historical priorities in plastic surgery must be based on established principles in the field instead of mere chronology. Examples of application of these principles to two landmarks in plastic surgery are given. The reader is commended to adhere to these principles in the study of other developments in p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006534-198406000-00028

    authors: Freshwater MF

    更新日期:1984-06-01 00:00:00