Othieno Florence, Tatum Sherard A
Department of Otolaryngology - Head and Neck Surgery, SUNY Upstate Medical University, Syracuse, New York, USA.
Curr Opin Otolaryngol Head Neck Surg. 2021 Aug 1;29(4):320-326. doi: 10.1097/MOO.0000000000000732.
The aim of this article is to present the current opinion on the prevention and management of oronasal fistulas in cleft palate patients.
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.
本文旨在阐述关于腭裂患者口鼻瘘预防和处理的当前观点。
尽管腭裂修复术有诸多改进和改良，但口鼻瘘仍是腭裂修复术最常见的并发症之一。有多种技术可用于预防和处理这一并发症。
通过采用合适的腭裂修复原则可使口鼻瘘降至最低。一旦出现瘘管，修复技术应适合瘘管类型。本文综述了口鼻瘘的分类、各种修复技术、组织辅助材料以及在一期腭裂修复和口鼻瘘修复中使用的生物材料。
