The purpose of this study was to determine the incidence of @entity2419 in a series of nonsyndromic @entity1 treated at the authors' institution. This retrospective analysis of 103 @entity1 with @entity2419 treated by five surgeons between 1982 and 1995 includes 60 @entity1 and 33 @entity1 , whose median age was 18.4 months at the time of surgery. The median length of follow-up was 4.9 years after primary palatoplasty. @entity2419 was defined as a failure of healing or a breakdown in the primary surgical repair of the palate. Intentionally unrepaired @entity292 of the primary and secondary palate were excluded. Extent of clefting was described according to the Veau classification. Statistical examination of multiple variables was performed using contingency table analysis, multivariate logistic regression, and the Wilcoxon rank sum test. The incidence of @entity2419 in this series was 8.7 percent. All of these @entity292 were clinically significant. The rate of @entity292 recurrence was 33 percent. The incidence of @entity2419 when compared by Veau classification was statistically significant, with nine @entity292 occurring in @entity1 with Veau 3 and 4 clefts and no @entity292 occurring in @entity1 with Veau 1 and 2 clefts (p = 0.0441). No significant differences between @entity1 with and without @entity292 were identified with respect to operating surgeon, @entity1 sex, @entity1 age at palatoplasty, @entity164 , and use of presurgical orthopedics or palatal expansion. All three recurrent @entity292 occurred in the anterior palate, two in @entity1 with Veau class 3 clefts and one in a @entity1 with a Veau class 4 cleft. The low rate of clinically significant @entity292 was attributed to early delayed primary closure, with smaller secondary clefts allowing repair with a minimum of dissection and disruption of vascularity.

Incidence of XXXX : an institutional experience with two-stage palatal repair.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient', 'girls', 'boys'] @entity2419 :: ('MESH:D002972', 'Disease') :: ['cleft palate', 'Cleft palatal fistula', 'cleft palatal fistula'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula', 'fistulas'] @entity164 :: ('MESH:D017827', 'Disease') :: ['type of palatoplasty']
@entity2419 :: (MESH:D002972,Disease) :: ['cleft palate fistula']
