Language：Japanese   Publisher：Journal of Cranio-Maxillofacial Surgery  

The aim of this retrospective cohort study was to compare the recurrence rate and speech outcomes between two techniques for palatal fistula closure of cleft palate (CP). Patients with CP who underwent secondary palatal fistula closure using the single hinge-flap method with double-breasted mattress suture (hinge-flap group) and those who were treated with the conventional sliding palatal flap method (sliding-flap group) were retrospectively evaluated for demographic and perioperative variables. Recurrence rate of palatal fistula, perceptual speech outcomes, and nasalance scores were further reviewed in patients who met the inclusion criteria. A total of 31 patients, 21 in the hinge-flap group and 10 in the sliding-flap group, were included in this study. The fistula recurrence rate in the hinge-flap group (0%) was significantly lower than that in the sliding-flap group (30.0%) (P = 0.027). In the speech assessment, hypernasality and nasalance scores decreased post-operatively in both groups and significance was observed in the hinge-flap group (P = 0.013, P < 0.001, respectively). Articulation disorders were significantly improved in the hinge-flap group (P = 0.001). Within the limitations of the study it seems that the single hinge-flap method with double-breasted mattress suture should be preferred whenever appropriate.

DOI： 10.1016/j.jcms.2021.09.018

Scopus

PubMed

Language：Japanese   Publisher：Japanese Cleft Palate Association  

Nasolabial cyst is a non-odontogenic developmental soft tissue cyst occurring in the periphery of the lip and nose, and is considered synonymous with nasal alveolar cyst according to the second edition of Histological Typing of Odontogenic Tumours by the WHO （1992）. Various theories have been proposed as to the etiology of this disease, including the retention cyst theory, the fissural cyst theory, and the embryonic nasolacrimal duct epithelial remnant theory, but none have been formulated. In the present study, we report a case of nasolabial cyst in the nasal vestibule of a patient who underwent a series of surgical procedures for unilateral complete cleft lip and alveolar, including labioplasty, secondary lip and nasal correction, and secondary bone grafting in the alveolar cleft.

DOI： 10.11224/cleftpalate.46.41

Event date： 2022.4

Language：Japanese   Presentation type：Oral presentation (general)  

Venue：福岡   Country：Japan  

Language：Japanese  

Language：Japanese  

Language：Japanese  

Language：Japanese  

Award type：Award from Japanese society, conference, symposium, etc. 

Award type：Award from Japanese society, conference, symposium, etc.  Country：Japan