Int J Stomatol

Int J Stomatol ›› 2021, Vol. 48 ›› Issue (6): 640-643.doi: 10.7518/gjkq.2021062

• Original Articles • Previous Articles     Next Articles

Effect of preoperative width of cleft palate on fistula formation after Sommerlad-Furlow technique

Wu Min(),Li Chenghao,Li Yang,Gong Caixia,Shi Bing()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-02-11 Revised:2021-06-15 Online:2021-11-01 Published:2021-10-28
  • Contact: Bing Shi E-mail:min-min-1984@163.com;shibingcn@vip.sina.com
  • Supported by:
    Research and Development Program, West China Hospital of Stomatology, Sichuan University(LCYJ2019-10)

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Abstract:

Objective This study aimed to evaluate the association between postoperative palatal fistula formation and the ratio of cleft width to the sum of palatal-shelf width by using the Sommerlad-Furlow technique (SF technique for short) for primary palate repair. Methods A total of 373 patients aged 8-18 months who underwent Huaxi SF technique for primary cleft palate without relaxation incision from April 2017 to December 2018 were included in the study. The incidence of palatal fistula was followed up 6 months after surgery. Gender, age, surgeon’s qualification, and the ratio of cleft width to the sum of palatal-shelf width were considered as the potential factors for affecting palatal fistula formation. Results The effect of gender, age, and surgeon’s qualification had no statistical significance (P>0.05). The effect of the ratio of cleft width to the sum of palatal-shelf width on postoperative fistula formation showed a strong association (P=0.048), with a width <5 mm (18 patients, no palatal fistula), from 5 mm to 10 mm (204 patients, 9 with palatal fistula), from 10 mm to 15 mm (137 patients, 11 with palatal fistula), and a cleft width >15 mm (14 patients, 3 with palatal fistula). Conclusion This study confirmed that the occurrence of palatal fistula was closely related to the preoperative cleft width repaired through the SF technique.

Key words: cleft palate, cleft width, palatal fistula, Sommerlad-Furlow technique

CLC Number: 

  • R782.2+2

TrendMD: 

Tab 1

The incidence of fistula formation in different cleft-width groups"

裂隙宽度组别/mm 患者例数/例 腭瘘例数
（腭瘘率/%）		 P值
<5 18 0（0） 0.048
5~10 204 9（4）
10~15 137 11（8）
>15 14 3（21）
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