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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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Esophageal Perforation-I: Introduction01:22

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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Cleft Palate Fistula: A Review.

Mitchell Buller1, Diana Jodeh1, Fatima Qamar1

  • 1Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.

Eplasty
|February 23, 2023
PubMed
Summary

Oronasal fistulae (ONF) are a common complication after cleft palate surgery. Current treatment options vary, highlighting the need for standardized approaches and further research to reduce ONF incidence.

Keywords:
ClassificationCleft Palate FistulaOronasal FistulaPalatal FistulaPittsburgh Fistula

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Postoperative oronasal fistulae (ONF) are a significant complication in cleft palate surgery.
  • Existing literature extensively covers ONF incidence, functional impact, and treatment strategies.
  • This review synthesizes current knowledge on ONF, including causative factors and classification.

Purpose of the Study:

  • To provide a comprehensive literature review on oronasal fistulae (ONF) in cleft palate patients.
  • To discuss the incidence, causative factors, functional impact, classification, and treatment of ONF.
  • To identify gaps in current knowledge and suggest future research directions.

Main Methods:

  • A systematic literature review was conducted using PubMed.
  • Search terms included "cleft palate" AND "fistula" OR "palatal fistula" OR "oronasal fistula".
  • 356 relevant articles were identified and analyzed for information on ONF care, prevention, and management.

Main Results:

  • Treatment of ONF remains challenging due to a lack of consensus on optimal palatoplasty techniques.
  • Numerous reconstructive options and adjunctive therapies are available, chosen based on fistula size and location.
  • Information on ONF prevention and management was gathered from the reviewed literature.

Conclusions:

  • ONF treatment must be individualized, considering the patient's growth and developmental stage.
  • Standardized nomenclature and improved outcomes reporting are crucial for developing a holistic approach to palate surgery.
  • Further large-scale, multicenter studies are needed to reduce the incidence of palatal fistulae.