BACKGROUND Congenital palate perforation is extremely rare. There is controversy about its exact etiology and appropriate management. Here, a case of congenital palatal perforation is reported. The diagnosis and treat...BACKGROUND Congenital palate perforation is extremely rare. There is controversy about its exact etiology and appropriate management. Here, a case of congenital palatal perforation is reported. The diagnosis and treatment of the disease are summarized.CASE SUMMARY A full-term neonate boy was referred for oral and craniomaxillofacial surgery with a finding of a hole in the palate at birth. The operation was postponed after pediatric consultation because of the patient’s poor nutrition and underweight for his age. At the age of 10 mo, the patient underwent modified von Langenbeck palatoplasty. He was followed for four years after surgery without any signs of re-rupture. His speech was satisfactory.CONCLUSION Considering the anatomy and etiology, congenital palate perforation can be classified as isolated or associated with submucous cleft palate, and the treatment procedure should be altered accordingly.展开更多
One of the known complications of cleft palate surgery is development of fistula. This study highlights our experience with cleft palate surgery in relation to fistula occurrence at our center. This is one of the firs...One of the known complications of cleft palate surgery is development of fistula. This study highlights our experience with cleft palate surgery in relation to fistula occurrence at our center. This is one of the first studies of this kind in Oman. We retrospectively reviewed 362 records of cleft palate patients. The most common technique used for cleft palate repair at our center was Veau-Wardill-Kilner technique. In our series we have noticed palatal fistulae in 32% of cases. This high rate is partially due to inclusion of very anterior fistulas in patients with complete cleft lips and palates, which actually represent part of the alveolar cleft rather than breakdown of the palatal repair. This will be closed during time of alveolar bone grafting at a later stage. We recommend a future prospective controlled study to study the factors that lower the incidence of fistula in our population.展开更多
基金Supported by Shanghai Science and Technology Commission Project,No.17410710500,No.19441906000,No.YG2015MS02,No.PW2016E-1,and No.JYJX03201810
文摘BACKGROUND Congenital palate perforation is extremely rare. There is controversy about its exact etiology and appropriate management. Here, a case of congenital palatal perforation is reported. The diagnosis and treatment of the disease are summarized.CASE SUMMARY A full-term neonate boy was referred for oral and craniomaxillofacial surgery with a finding of a hole in the palate at birth. The operation was postponed after pediatric consultation because of the patient’s poor nutrition and underweight for his age. At the age of 10 mo, the patient underwent modified von Langenbeck palatoplasty. He was followed for four years after surgery without any signs of re-rupture. His speech was satisfactory.CONCLUSION Considering the anatomy and etiology, congenital palate perforation can be classified as isolated or associated with submucous cleft palate, and the treatment procedure should be altered accordingly.
文摘One of the known complications of cleft palate surgery is development of fistula. This study highlights our experience with cleft palate surgery in relation to fistula occurrence at our center. This is one of the first studies of this kind in Oman. We retrospectively reviewed 362 records of cleft palate patients. The most common technique used for cleft palate repair at our center was Veau-Wardill-Kilner technique. In our series we have noticed palatal fistulae in 32% of cases. This high rate is partially due to inclusion of very anterior fistulas in patients with complete cleft lips and palates, which actually represent part of the alveolar cleft rather than breakdown of the palatal repair. This will be closed during time of alveolar bone grafting at a later stage. We recommend a future prospective controlled study to study the factors that lower the incidence of fistula in our population.
