A member asked:

How does one prevent fistula from forming after a cleft palate surgery in a six month old child ?

13 doctors weighed in across 3 answers
Dr. Bruce Weisbrot answered

Specializes in Dentistry

See surgeon: You should follow up with the surgeon that performed the procedure. A fistula could be the result of an infection or could occur due to improper healing. There is not anything that you can do on your own to prevent a fistula from forming.

Answered 1/2/2015

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Dr. Steven Koos answered

Specializes in Oral and Maxillofacial Surgery

Close follow-up: And following all post-op instructions carefully. The fistulous tract that you would be referring to would be an oro-nasal fistula, the very same communication that is being closed in corrective cleft palate surgery. The close follow-up will allow the oral and maxillofacial surgeon to intervene if signs of wound dehiscence, tract formation, infection etc. Are occurring.

Answered 8/1/2013

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Dr. Joseph Mele answered

Specializes in Plastic Surgery

Teamwork: Proper evaluation, surgical technique and aftercare are all very important in reducing the risk of an oro-nasal fistula after cleft palate repair. Even under the best circumstances it can happen and additional surgery is needed for closure. The best way to prevent this is finding an experienced, board certified surgeon in your area, and following directions.

Answered 9/30/2013

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