Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Influence of utility of fascia lata homograft on the palatal fistula in cleft palate repair


After palatoplasty operations, we are faced with a palatal fistula rate of 30% repair which is one of the most difficult tasks in Plastic Surgery. Placement of a biological material between the two anatomic layers of the palate was performed to reduce the rate of fistula formation. Commercially available “fascia lata” homograft was used in order to decrease the time of operation and avoid donor site morbidity. This method has reduced the rate of palatal fistulae to 8.3%.

This is a preview of subscription content, log in to check access.


  1. 1.

    Amaratunga NA (1987) Occurrence of oronasal fistulas in operated cleft palate patients. J Oral Maxillofac Surg 46:907

  2. 2.

    Bardach J (1986) Surgical techniques in cleft lip and palate. Year Book, Chicago

  3. 3.

    Behbehani AA, Eichner E (1983) Clinical experiments with dehydrated solvent-dried human fascia lata in oto-rhinolaryngology. Laryngol Rhinol Otol 62:548–551

  4. 4.

    Beyer CK, Albert DM (1981) The use and fate of fascia lata and sclera in ophthalmic plastic and reconstructive surgery. Ophthamology 88:869–886

  5. 5.

    Bright RW Green WT (1981) Freeze-dried fascial lata allografts: a review of 47 cases. J Pediatr Orthop 1:13

  6. 6.

    Burwell RG (1976) The fate of freeze-dried bone allografts. Transplant Proc 8:95

  7. 7.

    Cohen SR (1991) Cleft palate fistulae: a multivariate statistical analysis of prevalence, etiology and surgical management. Plant Reconstr Surg 87:1041

  8. 8.

    Elbel R (1985) Cleft palate fistulae: a study of a ten year experience. Presentation to the senior resident conference, Norfolk, Virginia

  9. 9.

    Graff WC (1961) Costal cartilage homografts preserved by irradiation. Plast Reconstr Surg 28:562

  10. 10.

    Kabayashi S (1989) Reconstruction of the four major ligaments in unstable knee joint after dislocation by solvent-preserved human fascia lata transplantation. Arch Orthop Trauma Surg 108:246–249

  11. 11.

    Lindsay WK (1962) A study of the speech. Results of a large series of cleft palate patients. Plast Reconstr Surg 29:273

  12. 12.

    Lindsay WK (1971) Von Langenbeck palatorrhaphy. In: Grabb WC, Rosenstein SW, Bzoch KR (eds) Cleft lip and palate. Little Brown, Boston

  13. 13.

    Lindsay WK (1980) The end results of cleft palate surgery and management. In: Goldwyn RM (ed) Long-term results in plastic and reconstructive surgery. Little Brown, Boston

  14. 14.

    Musgrave RH (1960) Complications of cleft palate surgery. Plast Reconstr Surg 26:180

  15. 15.

    Ohsumi N et al (1993) Use of a free conchal cartilage graft for closure of a palatal fistula: an experimental study and clinical application. Plast Reconstr Surg 91:433–440

  16. 16.

    Pesh HL (1985) Solvent-preserved grafts of dura mater and fascia lata (membranous collagen graft) in animals. In: Portman M (ed) Facial nerve. Masson, New York, pp 506–511

  17. 17.

    Schultz RC (1986) Management and timing of cleft palate fistulae repair. Plast Reconstr Surg 78:739

  18. 18.

    Shimizu M (1989) Oronasal fistulae in repaired cleft palates. J Cranio-Maxillofac Surg 17:39–41

  19. 19.

    Snyderman KR (1977) Transplantation of fascia. In: Converse JM (ed) Reconstructive plastic surgery. Saunders, Philadelphia, p 262

  20. 20.

    Webster DA (1973) Freeze-dried flexor tendons in anterior cruciate ligament reconstruction. Clin Orthop Rel Res 181:238

  21. 21.

    Yeager JE (1969) Use of bone homografts and autogenous marrow in restoration of edentulous alveolar ridges. J Oral Surg 27:185

  22. 22.

    Zalewski AA (1984) Survival of nerve allografts in sensitized rats treated with cyclosporin-A. J Neurosurg 60:828–834

Download references

Author information

Correspondence to T. Aköz.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Aköz, T., Erdogan, B., Karaça, C. et al. Influence of utility of fascia lata homograft on the palatal fistula in cleft palate repair. Eur J Plast Surg 18, 162–165 (1995).

Download citation

Key words

  • Palatal fistula
  • Fascia lata
  • Fascia homograft