بررسي 6 ساله بيماران با فيستول كام و ترميم آن در بيمارستان امام خميني اروميه

6 YEARS STUDY OF PLATINE FISTULA AND ITS REPAIR AT URMIA EMAM KHOMEINI HOSPITAL

Introduction : The palatine fistula is the most common complication after repair of the palate cleft. It is the main cause of injury and patients admission to the hospital due to escape of fluid, food panicles residu and air to the nose and resulting in speech with vowel letters and hypernasality. Materials & Methosd : MIn this study, 28 patients with the diagnosis of palate fistula were hospitalized and taken under surgery from 1994 to 1999 surveyed with retrospective method. Results : There were history of surgery for palate cleft in 26 patients, the patients were studied according to age/sex/technique and type of the surgical procedures in regard to labial and palate cleft and fistula. There were 15 cases of anterior fistula, 2 cases of lateral, 3 cases of median, 5 cases of extensive and 3 cases of soft palate fistula. The surgical methods which were used previously for palate fistula listed as follow: 14 cases Wardill method, 10 cases lagenback and 2 cases furllow method. The type of fistula were anterior in the first method and alveolar cleft in the reminder. Discussion: The better results in furllow method or reverse Z plasty and lesser evidence of fistula in this technique were correlated with the findings of previous literature and recommended as a method of choice for the treatment of palate cleft.