| Autor: |
Emory, Roger E., Clay, Ricky P., Bite, Uldis, Jackson, Ian T. |
| Zdroj: |
Plastic and Reconstructive Surgery; May 1997, Vol. 99 Issue: 6 p1535-1538, 4p |
| Abstrakt: |
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 nasalalveolar 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 followup period was 5.2 years. Several variables were analyzed by means of the logrank 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 p0.058. The strongest predictor of the occurrence of a cleft palate fistula was the surgeon performing the procedure p0.008. |
| Databáze: |
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