Staged repair of secondary cleft palate deformities

Seth Thaller, J. Scheuerle

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Despite improvements in cleft palate surgery, residual oronasal fistulas remain a frustrating problem for plastic and reconstructive surgeons because of a high incidence of failure when scarred and immobile neighboring palatal mucoperiosteum is used for secondary closure. Therefore, my colleagues and I have found it necessary to introduce additional tissue from regional sites to close persistent oronasal fistulas. Although each technique may have its successes, no one method can be consistently depended on to repair large palatal fistulas. Even with regional flaps, dehiscence from a scarred surgical site is quite frequent. However, these flaps may still provide satisfactory coverage with staged reconstruction because they will frequently close a significant percentage of the overall defects, which then may be reused to close the remaining defect.

Original languageEnglish
Pages (from-to)375-381
Number of pages7
JournalJournal of Craniofacial Surgery
Volume6
Issue number5
StatePublished - Jan 1 1995
Externally publishedYes

Fingerprint

Cleft Palate
Fistula
Plastics
Incidence

Keywords

  • Alveolar cleft
  • Buccinator musculomucosal flap
  • Oronasal fistula
  • Staged repair

ASJC Scopus subject areas

  • Surgery

Cite this

Staged repair of secondary cleft palate deformities. / Thaller, Seth; Scheuerle, J.

In: Journal of Craniofacial Surgery, Vol. 6, No. 5, 01.01.1995, p. 375-381.

Research output: Contribution to journalArticle

@article{63901e9eb3e94f5d9ebec7195476fee5,
title = "Staged repair of secondary cleft palate deformities",
abstract = "Despite improvements in cleft palate surgery, residual oronasal fistulas remain a frustrating problem for plastic and reconstructive surgeons because of a high incidence of failure when scarred and immobile neighboring palatal mucoperiosteum is used for secondary closure. Therefore, my colleagues and I have found it necessary to introduce additional tissue from regional sites to close persistent oronasal fistulas. Although each technique may have its successes, no one method can be consistently depended on to repair large palatal fistulas. Even with regional flaps, dehiscence from a scarred surgical site is quite frequent. However, these flaps may still provide satisfactory coverage with staged reconstruction because they will frequently close a significant percentage of the overall defects, which then may be reused to close the remaining defect.",
keywords = "Alveolar cleft, Buccinator musculomucosal flap, Oronasal fistula, Staged repair",
author = "Seth Thaller and J. Scheuerle",
year = "1995",
month = "1",
day = "1",
language = "English",
volume = "6",
pages = "375--381",
journal = "Journal of Craniofacial Surgery",
issn = "1049-2275",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Staged repair of secondary cleft palate deformities

AU - Thaller, Seth

AU - Scheuerle, J.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - Despite improvements in cleft palate surgery, residual oronasal fistulas remain a frustrating problem for plastic and reconstructive surgeons because of a high incidence of failure when scarred and immobile neighboring palatal mucoperiosteum is used for secondary closure. Therefore, my colleagues and I have found it necessary to introduce additional tissue from regional sites to close persistent oronasal fistulas. Although each technique may have its successes, no one method can be consistently depended on to repair large palatal fistulas. Even with regional flaps, dehiscence from a scarred surgical site is quite frequent. However, these flaps may still provide satisfactory coverage with staged reconstruction because they will frequently close a significant percentage of the overall defects, which then may be reused to close the remaining defect.

AB - Despite improvements in cleft palate surgery, residual oronasal fistulas remain a frustrating problem for plastic and reconstructive surgeons because of a high incidence of failure when scarred and immobile neighboring palatal mucoperiosteum is used for secondary closure. Therefore, my colleagues and I have found it necessary to introduce additional tissue from regional sites to close persistent oronasal fistulas. Although each technique may have its successes, no one method can be consistently depended on to repair large palatal fistulas. Even with regional flaps, dehiscence from a scarred surgical site is quite frequent. However, these flaps may still provide satisfactory coverage with staged reconstruction because they will frequently close a significant percentage of the overall defects, which then may be reused to close the remaining defect.

KW - Alveolar cleft

KW - Buccinator musculomucosal flap

KW - Oronasal fistula

KW - Staged repair

UR - http://www.scopus.com/inward/record.url?scp=0029114235&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029114235&partnerID=8YFLogxK

M3 - Article

C2 - 9020717

AN - SCOPUS:0029114235

VL - 6

SP - 375

EP - 381

JO - Journal of Craniofacial Surgery

JF - Journal of Craniofacial Surgery

SN - 1049-2275

IS - 5

ER -