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The Recurrence Rate in Patients With Cleft Palate Utilizing Acellular Dermal Matrix (Alloderm) Graft



Abdali H1 ; Abdaresfahani M2
Authors
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Authors Affiliations
  1. 1. Department of Plastic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2017

Abstract

Background: Management of cleft palate problems have been improved during last 2 decades. The purpose of palatoplasty is decrease in complications such as palatal fistula. The incidence of cleft palate fistula after palatoplasty reported widely between 0 to more than 76%. This study aimed to evaluate the efficacy of closure of hard palatal fistula using acellular dermal matrix (AlloDerm) graft. Methods: This cross-sectional study was done during 2015 to 2016 in referral Alzahra hospital in Isfahan, Iran. Patients who had a secondary fistula in any ages referred to cleft palate clinic and signed a consent form to be operated with this method were included. Postoperative recurrence in closed fistula was checked with follow-up appointments at 6 months for all cases. Findings: Of 30 patients (12 men and 18 women) participated in this study, recurrence of hard palatal fistula was seen in 4 patients. Conclusion: Closure of cleft palate fistula using acellular dermal matrix is a useful method with high success rate. © 2017, Isfahan University of Medical Sciences(IUMS). All rights reserved.
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