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Evaluation Of Incidence Of Palatal Fistula Cases In University Hospital Setting - A Retrospective Study
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| Author:
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MILONI SURESH SHAH, SENTHIL MURUGAN P, MARAGATHAVALLI GOPAL
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| Abstract:
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Background: Palatal fistula is a significant complication following cleft palate repair. The guidelines of management of the palatal fistula is dependent on the type of cleft, site of fistula, condition of surrounding tissue and associated problem.
Aim: The aim of the present study was to evaluate the number of palatal fistula cases reported to the Cleft and Craniofacial Centre, Department of Oral and maxillofacial surgery, Saveetha Dental College, Chennai.
Material and Methods:We studied the management and outcome of 43 cleft palate cases in our institute.Of 43 cleft palate cases , 37 had primary cleft palate repair in our hospital and 6 were referred with palatal fistula following cleft palate repair. The data was tabulated using the Microsoft Excel Spreadsheet and analysis of the data was performed using IBM SPSS Software 20.version, the variables were defined .Exclusion criteria were patients incomplete data and no follow up.Pearson chi square test was done to statistically analyze the data and to identify any significant level of association and significance level kept at p<0.05.
Results:It was observed that the highest number of cleft palate repair cases were performed when compared to that of surgical palatal fistula closure.More number of cleft palate repair were performed in age groups between 0-10 years of age when compared to the age group of 11-20 years of age. It was observed that surgical palatal fistula closures were more predominant in the age group between 11-20 years of age. Pearson’s Chi square value=7.363; df=1; p-value: 0.007 (p< 0.05); hence statistically significant.Patients who underwent cleft palate repair , were more predominant among males, when compared to females. It was also observed that surgical palatal fistula closure was predominant in both the genders. Pearson’s Chi square value = 0.034; df =1; p-value: 0.853 (p>0.05); hence statistically not significant.
Conclusion:The surgical management of fistula can be combined to tackle the associated problems.From this study we found that the incidence of palatal fistula following primary palatoplasty as well as in revision surgeries is very minimal.Still the results of this finding has to ascertained by performing an RCT with different surgical techniques and covering larger populations.
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| Keyword:
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Cleft repair, Management,Palatal fistula.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.01.240
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| Download:
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