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Palate fistula

MedGen UID:
488982
•Concept ID:
C2032780
•
Finding
Synonyms: Hole in roof of mouth; Palatal hole; Palatal perforation
 
HPO: HP:0010294

Definition

A fistula which connects the oral cavity and the pharyngeal area via the aspects of the soft palate. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPalate fistula

Conditions with this feature

Orofacial cleft 15
MedGen UID:
909661
•Concept ID:
C4225209
•
Congenital Abnormality
Any cleft lip/palate in which the cause of the disease is a mutation in the DLX4 gene.
See: Condition Record
Orofacial cleft 15

Professional guidelines

PubMed

A modified surgical schedule for primary management of cleft lip and palate in developing countries.
Agrawal K, Panda K
Cleft Palate Craniofac J 2011 Jan;48(1):1-8. Epub 2010 Apr 7 doi: 10.1597/09-226. PMID: 20500066
Management and timing of cleft palate fistula repair.
Schultz RC
Plast Reconstr Surg 1986 Dec;78(6):739-47. doi: 10.1097/00006534-198678060-00004. PMID: 3538077

Recent clinical studies

Etiology

Techniques and results of palate fistula repair following palatoplasty: a 234-case multicenter study.
San Basilio M, Lobo Bailón F, Berenguer B, Martí Carrera E, Bayet B, Taylor JA, Núñez Villaveiran T, Patel NV, Murthy AS, Mulliken JB
Cir Pediatr 2020 Jul 1;33(3):137-142. PMID: 32657098
Incidence of Palatal Fistula at Time of Secondary Alveolar Cleft Reconstruction.
Shankar VA, Snyder-Warwick A, Skolnick GB, Woo AS, Patel KB
Cleft Palate Craniofac J 2018 Aug;55(7):999-1005. Epub 2018 Feb 22 doi: 10.1597/16-179. PMID: 28140667Free PMC Article
CIRPLAST: Cleft Lip and Palate Missions in Peru.
Navarro CE
J Craniofac Surg 2015 Jun;26(4):1109-11. doi: 10.1097/SCS.0000000000001637. PMID: 26080137
Partial midfacial duplication.
Shen W, Cui J, Chen J, Ji Y, Zou J, Chen H, Xiongzheng M
J Craniofac Surg 2013 May;24(3):934-6. doi: 10.1097/SCS.0b013e31828606a1. PMID: 23714914
Achieving low cleft palate fistula rates: surgical results and techniques.
Losken HW, van Aalst JA, Teotia SS, Dean SB, Hultman S, Uhrich KS
Cleft Palate Craniofac J 2011 May;48(3):312-20. Epub 2010 Jul 1 doi: 10.1597/08-288. PMID: 20815713

Diagnosis

A Comparison of Outcomes After Palatoplasty in Patients With Non-Syndromic Pierre Robin Sequence Versus Patients With Non-Syndromic Isolated Cleft Palate.
Taku M, Yamamoto Y, Oyama A, Sasaki S, Hayashi T, Murao N, Osawa M, Funayama E
J Craniofac Surg 2020 Nov/Dec;31(8):2231-2234. doi: 10.1097/SCS.0000000000006672. PMID: 33136861
Single-Stage Repair of Palatal Fistula and Velopharyngeal Incompetence by the New L Flap.
El-Anwar MW, Elsheikh E, Askar S
J Craniofac Surg 2018 Jan;29(1):e70-e73. doi: 10.1097/SCS.0000000000004066. PMID: 29068965
Cleft and Craniofacial Care During Military Pediatric Plastic Surgery Humanitarian Missions.
Madsen C, Lough D, Lim A, Harshbarger RJ 3rd, Kumar AR
J Craniofac Surg 2015 Jun;26(4):1097-101. doi: 10.1097/SCS.0000000000001686. PMID: 26010104
Partial midfacial duplication.
Shen W, Cui J, Chen J, Ji Y, Zou J, Chen H, Xiongzheng M
J Craniofac Surg 2013 May;24(3):934-6. doi: 10.1097/SCS.0b013e31828606a1. PMID: 23714914
Furlow technique for treatment of soft palate fistula.
Abdel-Aziz M, El-Hoshy H, Naguib N, Reda R
Int J Pediatr Otorhinolaryngol 2012 Jan;76(1):52-6. Epub 2011 Oct 20 doi: 10.1016/j.ijporl.2011.09.030. PMID: 22019153

Therapy

Surgical Reconstruction of Cocaine-Induced Cleft Lip: A Case Report.
Chou DW, Shih C
Perm J 2020;24 doi: 10.7812/TPP/19.197. PMID: 33175674Free PMC Article
A Comparison of Outcomes After Palatoplasty in Patients With Non-Syndromic Pierre Robin Sequence Versus Patients With Non-Syndromic Isolated Cleft Palate.
Taku M, Yamamoto Y, Oyama A, Sasaki S, Hayashi T, Murao N, Osawa M, Funayama E
J Craniofac Surg 2020 Nov/Dec;31(8):2231-2234. doi: 10.1097/SCS.0000000000006672. PMID: 33136861
Closure of fistula of the hard palate with two layers of mucoperiosteum.
Abdel-Aziz M, Kamel A, Fawaz M, Rezk I, Kamel M
Int J Pediatr Otorhinolaryngol 2018 Jan;104:43-46. Epub 2017 Oct 31 doi: 10.1016/j.ijporl.2017.10.037. PMID: 29287878
Complication of bipolar radiofrequency adenoidectomy: palate fistula.
Linkov G, Zwillenberg D, Davis WJ 3rd, Chennupati SK
Otolaryngol Head Neck Surg 2014 Dec;151(6):1088-9. Epub 2014 Sep 9 doi: 10.1177/0194599814549736. PMID: 25205640
Cleft palate fistula repair. Improved results by the addition of bone.
Schultz RC
J Craniomaxillofac Surg 1989 Dec;17 Suppl 1:34-6. doi: 10.1016/s1010-5182(89)80038-1. PMID: 2691530

Prognosis

Impact of a Palatal Fistula After Cleft Palate Repair on Velopharyngeal Closure.
Geisman MM, Skolnick GB, Grames LM, Naidoo SD, Snyder-Warwick AK, Patel KB
Cleft Palate Craniofac J 2024 Jan;61(1):61-67. Epub 2022 Aug 1 doi: 10.1177/10556656221116534. PMID: 35912430
Techniques and results of palate fistula repair following palatoplasty: a 234-case multicenter study.
San Basilio M, Lobo Bailón F, Berenguer B, Martí Carrera E, Bayet B, Taylor JA, Núñez Villaveiran T, Patel NV, Murthy AS, Mulliken JB
Cir Pediatr 2020 Jul 1;33(3):137-142. PMID: 32657098
Incidence of Palatal Fistula at Time of Secondary Alveolar Cleft Reconstruction.
Shankar VA, Snyder-Warwick A, Skolnick GB, Woo AS, Patel KB
Cleft Palate Craniofac J 2018 Aug;55(7):999-1005. Epub 2018 Feb 22 doi: 10.1597/16-179. PMID: 28140667Free PMC Article
Complication of bipolar radiofrequency adenoidectomy: palate fistula.
Linkov G, Zwillenberg D, Davis WJ 3rd, Chennupati SK
Otolaryngol Head Neck Surg 2014 Dec;151(6):1088-9. Epub 2014 Sep 9 doi: 10.1177/0194599814549736. PMID: 25205640
Partial midfacial duplication.
Shen W, Cui J, Chen J, Ji Y, Zou J, Chen H, Xiongzheng M
J Craniofac Surg 2013 May;24(3):934-6. doi: 10.1097/SCS.0b013e31828606a1. PMID: 23714914

Clinical prediction guides

Impact of a Palatal Fistula After Cleft Palate Repair on Velopharyngeal Closure.
Geisman MM, Skolnick GB, Grames LM, Naidoo SD, Snyder-Warwick AK, Patel KB
Cleft Palate Craniofac J 2024 Jan;61(1):61-67. Epub 2022 Aug 1 doi: 10.1177/10556656221116534. PMID: 35912430
Soft Palate Fistula in a Patient With Normal Palate as a Rare Complication After Septoplasty.
Jeon JB, Jeon MC, Shin JH
J Craniofac Surg 2021 Jul-Aug 01;32(5):1775-1776. doi: 10.1097/SCS.0000000000007415. PMID: 33427775
Techniques and results of palate fistula repair following palatoplasty: a 234-case multicenter study.
San Basilio M, Lobo Bailón F, Berenguer B, Martí Carrera E, Bayet B, Taylor JA, Núñez Villaveiran T, Patel NV, Murthy AS, Mulliken JB
Cir Pediatr 2020 Jul 1;33(3):137-142. PMID: 32657098
Cleft and Craniofacial Care During Military Pediatric Plastic Surgery Humanitarian Missions.
Madsen C, Lough D, Lim A, Harshbarger RJ 3rd, Kumar AR
J Craniofac Surg 2015 Jun;26(4):1097-101. doi: 10.1097/SCS.0000000000001686. PMID: 26010104
Furlow technique for treatment of soft palate fistula.
Abdel-Aziz M, El-Hoshy H, Naguib N, Reda R
Int J Pediatr Otorhinolaryngol 2012 Jan;76(1):52-6. Epub 2011 Oct 20 doi: 10.1016/j.ijporl.2011.09.030. PMID: 22019153

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