{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:14:56Z","timestamp":1777522496909,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2014,3,1]],"date-time":"2014-03-01T00:00:00Z","timestamp":1393632000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the prevalence of fistulas after palate repair and analyze their location and association with possible causal factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective analysis of patient records and evaluation of preoperative initial photographs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary craniofacial center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Five hundred eighty-nine individuals with complete unilateral cleft lip and palate that underwent palate repair at the age of 12 to 36 months by the von Langenbeck technique, in a single stage, by the plastic surgery team of the hospital, from January 2003 to July 2007.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>The cleft width was visually classified by a single examiner as narrow, regular, or wide. The following regions of the palate were considered for the location: anterior, medium, transition (between hard and soft palate), and soft palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Descriptive statistics and analysis of association between the occurrence of fistula and the different parameters were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Palatal fistulas were observed in 27% of the sample, with a greater proportion at the anterior region (37.11%). The chi-square statistical test revealed statistically significant association ( P \u2264 .05) between the fistulas and initial cleft width ( P = .0003), intraoperative problems ( P = .0037), and postoperative problems ( P = .00002).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The prevalence of palatal fistula was similar to mean values reported in the literature. Analysis of causal factors showed a positive association between palatal fistulas with wide and regular initial cleft width and intraoperative and postoperative problems. The anterior region presented the greatest occurrence of fistulas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/11-190","type":"journal-article","created":{"date-parts":[[2013,4,15]],"date-time":"2013-04-15T17:05:12Z","timestamp":1366045512000},"page":"158-164","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":40,"title":["Prevalence, Cause, and Location of Palatal Fistula in Operated Complete Unilateral Cleft Lip and Palate: Retrospective Study"],"prefix":"10.1177","volume":"51","author":[{"given":"Vivian","family":"De Agostino Biella Passos","sequence":"first","affiliation":[{"name":"Pediatric Dentist and Head of Sector of Pediatric Dentistry"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cleide Fel\u00edcio","family":"De Carvalho Carrara","sequence":"additional","affiliation":[{"name":"Pediatric Dentist and Head of Sector of Pediatric Dentistry"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gisele","family":"Da Silva Dalben","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Costa","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcia Ribeiro","family":"Gomide","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,3,1]]},"reference":[{"key":"bibr1-11-190","doi-asserted-by":"publisher","DOI":"10.3109\/02844317909013073"},{"key":"bibr2-11-190","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.57197"},{"key":"bibr3-11-190","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(88)90044-4"},{"key":"bibr4-11-190","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1597\/1545-1569_1993_030_0001_aaafot_2.3.co_2","volume":"30","author":"American Cleft Palate-Craniofacial Association.","year":"1993","journal-title":"Cleft Palate Craniofac J."},{"key":"bibr5-11-190","doi-asserted-by":"publisher","DOI":"10.1080\/02844310802299676"},{"key":"bibr6-11-190","doi-asserted-by":"publisher","DOI":"10.1080\/02844310510006529"},{"key":"bibr7-11-190","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197810000-00006"},{"key":"bibr8-11-190","first-page":"73","volume-title":"Fissuras 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