4.1 Review

Prevention and management of oronasal fistulas

Journal

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MOO.0000000000000732

Keywords

cleft palate; oronasal fistula; palate reconstruction; palate repair; palate revision; palate surgery; palatoplasty

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This article presents the current opinion on prevention and management of oronasal fistulas in cleft palate patients. Despite advancements in cleft palate repair, oronasal fistulas remain a common complication, with various techniques available for prevention and management. The review discusses oronasal fistula classifications, repair techniques, tissue adjuncts, and biomaterials used in palate and fistula repair.
Purpose of review The aim of this article is to present the current opinion on the prevention and management of oronasal fistulas in cleft palate patients. Recent findings Though cleft palate repair has seen numerous modifications and improvements, oronasal fistulas remain one of the most common complications of palatoplasty. There are various techniques available for preventing and managing this complication. Oronasal fistulas can be minimized by employing proper principles for palatoplasty. Once a fistula occurs, the repair technique should be appropriate for the fistula type. Oronasal fistula classifications, various repair techniques, tissue adjuncts, and biomaterials used in both the primary palate repair and oronasal fistula repair are discussed in this review.

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