Article Sidebar

Published: 2026-06-25
Abstract Views: 0
DOI: https://doi.org/10.52163/yhc.v67i6.5513
Issue
Tập 67 No6
Section
Articles
How to Cite
Sơn, P. T., Chinh, N. T., & Hương, H. T. (2026). EVALUATE OF THE TREATMENT OUTCOMES OF ORONASAL FISTULA CLOSURE USING MUCOPERIOSTEAL FLAP IN PATIENTS WITH CLEFT LIP AND PALATE AT THE HANOI CENTRAL ODONTO-STOMATOLOGY HOSPITAL FROM JUNE 2019 TO SEPTEMBER 2020. Vietnam Journal of Community Medicine, 67(6). https://doi.org/10.52163/yhc.v67i6.5513

EVALUATE OF THE TREATMENT OUTCOMES OF ORONASAL FISTULA CLOSURE USING MUCOPERIOSTEAL FLAP IN PATIENTS WITH CLEFT LIP AND PALATE AT THE HANOI CENTRAL ODONTO-STOMATOLOGY HOSPITAL FROM JUNE 2019 TO SEPTEMBER 2020

Pham Thanh Son1, Nguyen Thi Chinh1, Hoang Thi Huong2
1 Hai Duong Medical Technical University, Le Thanh Nghi Ward, Hai Phong City
2 Central Dental and Maxillofacial Hospital of Hanoi, Hoan Kiem Ward, Hanoi City.

Main Article Content

Abstract

Objective: To evaluate the treatment outcomes of the oronasal fistula using mucoperiosteal flaps in patients with cleft lip and palate at the Hanoi Central Odonto-Stomatology Hospital from June 2019 to September 2020. 


Subjects and Methods: Clinical intervention study without control group.


Results: The average age was 13.88 ± 4.93; the youngest was 2 years old and the oldest was 26 years old; the majority were over 12 years old, accounting for 60.6%. In the first week, the surgical wound condition was generally good, with swelling occurring in most cases (90.9%). 100% of patients did not experience complications such as bleeding, infection, or wound dehiscence. Three months after surgery, only 1 out of 33 patients experienced recurrence of the fistula and required re-surgery. After six months, most patients had good treatment outcomes, with only 6.1% requiring further re-surgery using a different method. 93.9% of patients experienced relief from reflux during eating, were satisfied, and had improved quality of life. Conclusion: In the group of small stomata (< 5mm) selected for the study, closure of the stomata resolved the problem of reflux from the mouth to the nose during eating and drinking; in most cases, there was no improvement in speech

Article Details

Keywords

oronasal fistula, cleft lip and palate.

References

[1] Arosarena A Oneida. "Cleft lip and palate", Otolaryngol, 2007, 40,
27-60. DOI: 10.1016/j.otc.2006.10.011
[2] Lâm Hoài Phương (2007), Dị tật bẩm sinh hàm mặt, Nhà xuất bản Y học, Hà Nội.
[3] Cohen SR, Kalinowski J, LaRossa D, Randall. Cleft palate fistulas: A multivariate statistical analysis of prevalence, etiology, and surgical management. Plast Reconstr Surg. 1991, 87:1041–7. DOI: https://doi.org/10.5125/jkaoms.2016.42.2.77
[4] Nguyễn Mạnh Hà, “Hiệu quả ghép xương ổ răng trên bệnh nhân sau phẫu thuật tạo hình KHM-VM toàn bộ” Luận văn CKII-Đại học Y Hà Nội, 2010, 25-27.
[5] Nguyễn Bạch Dương, Trần Thư Trung, Lâm Hoài Phương. Đặc điểm tình hình khe hở môi – hàm ếch tại 32 tỉnh thành phía Nam từ 2007 – 2010.Tuyển tập Công trình Nghiên cứu Khoa học. Nhà xuất bản Y học, 2010, 81-89. DOI: https://doi.org/10.59294/HIUJS.31.2024.658
[6] Yu-Ying Chu, Frank Chun- Shin Chang, Ting-Chen Lu, et al. Surgical outcomes of secondary alveolar bone grafting and extensive gingivoperiosteoplasty performed at mixed dentition stage in unilateral complete cleft lip and palate. J Clin Med, 2020, 9(2): 576. https://doi.org/10.3390/jcm9020576
[7] Tovo AH, Prietsch JR, Collares MV. Tomographic assessment of bone formation after the collares technique of gingivoperiosteoplasty in patients with Cleft lip and palate. Cleft Palate Craniofac J. 2016, 53(1):47-56. DOI: 10.1597/14-089
[8] Bykowski MR, Sivak W, Garland C, et al. A Multimodal Preemptive Analgesic Protocol for Alveolar Bone Graft Surgery: Decreased Pain, Hospital Stay, and Health Care Costs. Cleft Palate Craniofac J. 2019, 56(4):479-486. DOI: 10.1177/22925503221088840 journals.sagepub.com/home/psg.