Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
J Craniofac Surg. 2021;32(5):1775-1776. doi: 10.1097/SCS.0000000000007415.
While the formation of a palatal fistula after septoplasty has been reported previously, it is a rare occurrence, especially in a patient with a normal palate. In most of the previous reports, the palatal fistulas were located on the hard palate and associated with various underlying conditions. Here, we present a case of soft palate fistula which developed in a patient with a normal palate after septoplasty. The 20-year old woman complained of liquid regurgitation after her septoplasty procedure. A pin-point size fistula opening was observed on the soft palate. A shallow depression was identified at the junction between the hard and soft palate by a computed tomography scan done before surgery. The fistula was subsequently repaired through a palatal flap. After surgery, the defect was completely closed, and the patient had no more symptoms. In addition, we review the previously reported cases of palatal fistula after septoplasty.
虽然鼻中隔成形术后发生腭瘘以前有报道，但很少见，尤其是在腭正常的患者中。在之前的大多数报道中，腭瘘位于硬腭上，并与各种潜在疾病有关。在这里，我们报告了一例鼻中隔成形术后在腭正常的患者中发生的软腭瘘。这名 20 岁的女性在鼻中隔成形术后抱怨液体反流。在软腭上观察到一个针尖大小的瘘口。术前计算机断层扫描显示，硬腭和软腭交界处有一个浅凹陷。通过腭瓣修复瘘管。手术后，缺损完全闭合，患者无任何症状。此外，我们回顾了之前报道的鼻中隔成形术后腭瘘的病例。
