Cleft Palate Fistula Closure Utilizing Acellular Dermal Matrix

Summary: Fistulas represent failure of cleft palate repair. Secondary and tertiary fistula repair is challenging, with high recurrence rates. In the present retrospective study, we review the efficacy of using acellular dermal matrix as an interposition layer for cleft palate fistula closure in 20 consecutive patients between 2013 and 2016. Complete fistula closure was obtained in 16 patients; 1 patient had asymptomatic recurrent fistula; 2 patients had partial closure with reduction of fistula size and minimal nasal regurgitation; 1 patient developed a recurrent fistula without changes in symptoms (success rate of 85%). We conclude that utilizing acellular dermal matrix for cleft palate fistula repair is safe and simple with a high success rate. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. Published online 13 March 2018. Received for publication October 10, 2017; accepted December 19,2017. Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors. Drs. Emodi and Ginini contributed equally to this work. The name of the trial registry and the registration number: Cleft Fistula Closure Using Dermal Graft. 0672-15-RMB. Jiriys George Ginini, DMD, Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, 8 Ha'Aliyah Street, Haifa 3109601, Israel, E-mail: jiriysginini@technion.ac.il Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.

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