ĐẶC ĐIỂM LÂM SÀNG LỖ THỦNG VÒM MIỆNG TRÊN BỆNH NHÂN KHE HỞ MÔI – VÒM MIỆNG

Abstract

Objective: To describe the clinical characteristics of palatal fistula in patients with cleft lip and palate after surgical repair. Subjects and Methods: A cross-sectional descriptive study was conducted on 26 patients with palatal fistula who were treated and followed up at the Department of Maxillofacial, Plastic and Aesthetic Surgery, E Hospital, from May to September 2025. The evaluated parameters included the location and size of the fistula, the condition of the surrounding tissue, and the impact on eating, speech, and quality of life. Results: Among 26 patients, the majority were between 6 and 12 years old (57.7%). The fistula was most commonly located in the mid-palatal region (61.5%) and was generally smaller than 5 mm (65.4%). Most patients experienced varying degrees of difficulty in eating and speech articulation. The surrounding tissue was often characterized by scarring, fibrosis, and poor elasticity. Conclusion: Palatal fistula is a common late complication following cleft palate repair, significantly affecting feeding and speech functions. Accurate clinical evaluation plays an essential role in selecting appropriate treatment strategies, thereby improving both functional and aesthetic outcomes for patients.