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Palatoplastia em plano único e fístula oronasal / Single layer closure of hard palate cleft and oronasal fistula
Mukherjee, Rama Prosad; Hochberg, Julio.
  • Mukherjee, Rama Prosad; Marshfield Clinic. Marshfield, WI. US
  • Hochberg, Julio; Marshfield Clinic. Marshfield, WI. US
Rev. bras. cir. plást ; 29(3): 438-441, jul.-sep. 2014. tab, ilus
Article in English, Portuguese | LILACS | ID: biblio-741
RESUMO

INTRODUÇÃO:

Tradicionalmente, a fissura palatina é corrigida em duas camadas - uma camada mucosa nasal e camada muco-periosteal oral. Este estudo avaliou os resultados do fechamento em camada única de fissura palatina comparado ao fechamento tradicional em camada dupla.

MÉTODOS:

Trata se de revisão de prontuários de 101 casos de correção de fissura palatina realizados entre 1981 e 2012 em uma clínica assistencial/hospital terciário localizado no centro de Wisconsin. Os casos utilizaram fechamento em camada única e foram acompanhados em Clínica de Lábio Leporino por 12 meses. Foram incluídas fissura labial e palatina também como fissura palatina isolada.

RESULTADOS:

Todos os casos apresentaram cicatrização satisfatória exceto dois casos que necessitaram de correção posterior de pequena fistula.

CONCLUSÃO:

O fechamento em camada única de fissura palatina é tão efetivo quanto o fechamento tradicional em camada dupla, além disso apresenta mínimas complicações.
ABSTRACT

INTRODUCTION:

Traditionally, cleft of the hard palate is repaired in two layers, with a nasal mucosal layer and an oral mucoperiosteal layer. The aim of this study was to evaluate the results of one layer closure of hard palate cleft compared to the traditional two layers closure.

METHODS:

The charts of 101 consecutive cases of repair of hard palate cleft performed by the authors from 1981 to 2012 at a tertiary care clinic/hospital in central Wisconsin were reviewed. The cases utilized the single layer closure and were followed in the Cleft Palate Clinic on a yearly basis. Cases included unilateral and bilateral cleft lip and palate as well as isolated cleft palate.

RESULTS:

All cases healed satisfactorily except for two cases that later required small fistulae repair.

CONCLUSION:

Single layer closure of the hard palate cleft is as effective as traditional two-layer closure, with minimal complications.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Surgery, Plastic / Comparative Study / Cleft Lip / Cleft Palate / Review / Oral Surgical Procedures / Evaluation Study / Palate, Hard / Mouth / Nasal Cavity Type of study: Evaluation studies Limits: Child / Child, preschool / Female / Humans / Infant / Male Language: English / Portuguese Journal: Rev. bras. cir. plást Journal subject: General Surgery Year: 2014 Type: Article Affiliation country: United States Institution/Affiliation country: Marshfield Clinic/US

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Full text: Available Index: LILACS (Americas) Main subject: Surgery, Plastic / Comparative Study / Cleft Lip / Cleft Palate / Review / Oral Surgical Procedures / Evaluation Study / Palate, Hard / Mouth / Nasal Cavity Type of study: Evaluation studies Limits: Child / Child, preschool / Female / Humans / Infant / Male Language: English / Portuguese Journal: Rev. bras. cir. plást Journal subject: General Surgery Year: 2014 Type: Article Affiliation country: United States Institution/Affiliation country: Marshfield Clinic/US