Cleft Palate Fistula Closure Utilizing Acellular Dermal Matrix

Omri Emodi, DMD; Jiriys George Ginini, MSc, DMD; John A. van Aalst, MD, MA, FACS; Dekel Shilo, DMD, PhD; Raja Naddaf, DMD; Dror Aizenbud, DMD; Adi Rachmiel, DMD, PhD

doi:10.1097/GOX.0000000000001682

Plastic and Reconstructive Surgery, Global Open (Mar 2018)

Cleft Palate Fistula Closure Utilizing Acellular Dermal Matrix

Omri Emodi, DMD,
Jiriys George Ginini, MSc, DMD,
John A. van Aalst, MD, MA, FACS,
Dekel Shilo, DMD, PhD,
Raja Naddaf, DMD,
Dror Aizenbud, DMD,
Adi Rachmiel, DMD, PhD

Affiliations

Omri Emodi, DMD: From the *Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; †Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; ‡Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and §Department of Orthodontics, Rambam Health Care Campus, Haifa, Israel.
Jiriys George Ginini, MSc, DMD: From the *Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; †Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; ‡Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and §Department of Orthodontics, Rambam Health Care Campus, Haifa, Israel.
John A. van Aalst, MD, MA, FACS: From the *Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; †Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; ‡Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and §Department of Orthodontics, Rambam Health Care Campus, Haifa, Israel.
Dekel Shilo, DMD, PhD: From the *Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; †Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; ‡Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and §Department of Orthodontics, Rambam Health Care Campus, Haifa, Israel.
Raja Naddaf, DMD: From the *Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; †Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; ‡Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and §Department of Orthodontics, Rambam Health Care Campus, Haifa, Israel.
Dror Aizenbud, DMD: From the *Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; †Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; ‡Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and §Department of Orthodontics, Rambam Health Care Campus, Haifa, Israel.
Adi Rachmiel, DMD, PhD: From the *Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; †Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; ‡Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and §Department of Orthodontics, Rambam Health Care Campus, Haifa, Israel.

DOI: https://doi.org/10.1097/GOX.0000000000001682
Journal volume & issue: Vol. 6, no. 3
p. e1682

Abstract

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Summary:. Fistulas represent failure of cleft palate repair. Secondary and tertiary fistula repair is challenging, with high recurrence rates. In the present retrospective study, we review the efficacy of using acellular dermal matrix as an interposition layer for cleft palate fistula closure in 20 consecutive patients between 2013 and 2016. Complete fistula closure was obtained in 16 patients; 1 patient had asymptomatic recurrent fistula; 2 patients had partial closure with reduction of fistula size and minimal nasal regurgitation; 1 patient developed a recurrent fistula without changes in symptoms (success rate of 85%). We conclude that utilizing acellular dermal matrix for cleft palate fistula repair is safe and simple with a high success rate.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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