From the Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia (Dr Bagatin); Wake Forest University, Winston-Salem, NC (Dr Goldman); and Department of Otolaryngology, University of Washington, Seattle (Dr Nishioka).
Recurrent palatal fistulas following primary cleft palate repair are uncommon, with an incidence ranging between 9% and 34%.1-3 Factors that contribute to the development of a recurrent fistula include the size of the initial cleft, the method of repair, and the surgeon.3 When fistulas recur they are usually located in the anterior palate and are small to moderate in size. When large defects are seen they typically follow repeated surgical attempts at closure.
Bagatin M, Goldman N, Nishioka GJ. Combined Tongue and Pharyngeal Flaps for Reconstruction of Large Recurrent Palatal Fistulas. Arch Facial Plast Surg. 2000;2(2):146-147. doi: