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首页> 外文期刊>The Journal of craniofacial surgery >Incidence of oronasal fistula formation after nasoalveolar molding and primary cleft repair
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Incidence of oronasal fistula formation after nasoalveolar molding and primary cleft repair

机译:鼻槽成型和原发性c裂修复后口鼻瘘形成的发生率

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摘要

The incidence of postoperative complications in cleft care is low. In this 19-year retrospective analysis of cleft lip and palate patients treated with preoperative nasoalveolar molding, we examine the incidence of postoperative oronasal fistulae. The charts of 178 patients who underwent preoperative nasoalveolar molding by the same orthodontist/prosthodontist team and primary cleft lip/palate repair by the same surgeon over a 19-year period were reviewed. Millard, Mohler, Cutting, or Mulliken-type techniques were used for cleft lip repairs. Oxford-, Bardach-, or von Langenbeck-type techniques were used for cleft palate repairs. One nasolabial fistula occurred after primary cleft lip repair (0.56% incidence) and was repaired surgically. Four palatal fistulae (3 at the junction between soft and hard palate and 1 at the right anterior palate near the incisive foramen) occurred, but 3 healed spontaneously. Only 1 palatal fistula (0.71%) required surgical repair. All 5 fistulae occurred within the first 8 years of the study period, with 4 (80%) of 5 occurring within the first 3 years. Although fistula rate may be related to surgeon experience and the evolution of presurgical techniques, nasoalveolar molding in conjunction with nasal floor closure contributes to a low incidence of oronasal fistulae.
机译:left裂护理术后并发症的发生率很低。在这项为期19年的术前鼻槽成形术治疗的唇pa裂患者的回顾性分析中,我们检查了术后口鼻瘘的发生率。回顾了178位患者的图表,这些患者在19年的时间里由同一位正畸/假牙医师团队进行了术前鼻槽成形术,并由同一位外科医生进行了一次唇c裂//裂修复。 Millard,Mohler,Cutting或Mulliken型技术用于唇裂修复。采用牛津,巴达克或冯·朗根贝克型技术修复left裂。原发性唇裂修复后发生1例鼻唇瘘(发生率0.56%),并通过手术修复。发生了四个pa瘘(3个位于软和硬pa之间的交界处,1个位于切缘孔附近的右前pa),但3个自发愈合。仅1例f瘘(0.71%)需要手术修复。所有5例瘘管均在研究期的前8年内发生,其中5例中有4例(80%)在前3年内发生。尽管瘘管发生率可能与外科医生的经验以及术前技术的发展有关,但鼻槽成形术与鼻底封闭术相结合可降低口鼻瘘的发生率。

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