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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451807281
DOI: 10.1055/s-0045-1807281
Artigo Original

Avaliação de uma tática cirúrgica na prevenção de fístula oronasal durante a palatoplastia em pacientes fissurados

Article in several languages: português | English
Géza Lászlo Urményi 
1   Serviço de Cirurgia Plástica, Hospital Santa Izabel, Salvador, BA, Brasil
,
Elizabeth Castineira Fernandes
1   Serviço de Cirurgia Plástica, Hospital Santa Izabel, Salvador, BA, Brasil
,
Lucas Gábor Urményi 
1   Serviço de Cirurgia Plástica, Hospital Santa Izabel, Salvador, BA, Brasil
› Author Affiliations
Suporte Financeiro Os autores declaram que não receberam suporte financeiro de agências dos setores público, privado ou sem fins lucrativos para a realização deste estudo.
Ensaios Clínicos Nenhum. | Clinical Trials None.
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Resumo

A fístula oronasal é uma complicação comum em cirurgias de reparo da fissura palatina, e representa um desafio devido à escassez de tecido na região afetada. A incidência dessa complicação varia de 3% a 46%, sendo mais prevalente na região III da classificação de Pittsburgh, que corresponde à junção entre os palatos duro e mole. Este estudo tem como objetivo avaliar uma tática cirúrgica para reduzir a incidência de fístulas oronasais. Realizou-se um estudo retrospectivo com 142 pacientes consecutivos submetidos à palatoplastia entre janeiro de 2018 e junho de 2024 no Hospital Santa Izabel, utilizando a técnica de 2 retalhos associada a uma tática para reduzir a tensão da sutura. Foram analisados fatores como tipo de fissura (pela classificação de Veau), idade à cirurgia, sexo, tamanho da fissura e incidência de fístulas (conforme a classificação de Pittsburgh). A incidência de fistulas oronasais foi de 1,4%, significativamente menor do que a relatada na literatura, sem ocorrência de fístulas na zona III, onde são mais frequentes. A tática mostrou-se eficaz na redução da formação de fístulas, mesmo em pacientes com fissuras amplas e comorbidades associadas, o que evidencia a sua viabilidade e os benefícios para a prática clínica.

Palavras-chave

fissura palatina - fístula - fístula bucal - palato duro - palato mole

Contribuições dos Autores

GLU: análise e/ou interpretação dos dados, aprovação final do manuscrito e redação – revisão & edição; ECF: coleta de dados e metodologia; e LGU: análise e/ou interpretação dos dados e redação – preparação do original.


Número do comitê de ética

CAAE 74866323.5.0000.5520.




Publication History

Received: 15 December 2024

Accepted: 06 February 2025

Article published online:
14 May 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
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Bibliographical Record
Géza Lászlo Urményi, Elizabeth Castineira Fernandes, Lucas Gábor Urményi. Avaliação de uma tática cirúrgica na prevenção de fístula oronasal durante a palatoplastia em pacientes fissurados. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451807281.
DOI: 10.1055/s-0045-1807281
 

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