| Autor: |
de Agostino Biella Passos, Vivian, de Carvalho Carrara, Cleide Felício, da Silva Dalben, Gisele, Costa, Beatriz, Ribeiro Gomide, Marcia |
| Předmět: |
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| Zdroj: |
Cleft Palate Craniofacial Journal; Mar2014, Vol. 51 Issue 2, p158-164, 7p |
| Abstrakt: |
Objective: To evaluate the prevalence of fistulas after palate repair and analyze their location and association with possible causal factors. Design: Retrospective analysis of patient records and evaluation of preoperative initial photographs. Setting: Tertiary craniofacial center. Participants: Five hundred eighty-nine individuals with complete unilateral cleft lip and palate that underwent palate repair at the age of 12 to 36 months by the von Langenbeck technique, in a single stage, by the plastic surgery team of the hospital, from January 2003 to July 2007. Interventions: The cleft width was visually classified by a single examiner as narrow, regular, or wide. The following regions of the palate were considered for the location: anterior, medium, transition (between hard and soft palate), and soft palate. Main outcome measures: Descriptive statistics and analysis of association between the occurrence of fistula and the different parameters were evaluated. Results: Palatal fistulas were observed in 27% of the sample, with a greater proportion at the anterior region (37.11%). The chi-square statistical test revealed statistically significant association (P ≤ .05) between the fistulas and initial cleft width (P = .0003), intraoperative problems (P= .0037), and postoperative problems (P= .00002). Conclusions: The prevalence of palatal fistula was similar to mean values reported in the literature. Analysis of causal factors showed a positive association between palatal fistulas with wide and regular initial cleft width and intraoperative and postoperative problems. The anterior region presented the greatest occurrence of fistulas. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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