Oronasal fistulae are frequently symptomatic due to rhinolalia and regurgitation of solid food and liquids through the palate.1 When asymptomatic, fistulae can be managed with conservative therapies. Local flaps are useful to close small fistulae but cannot be used in bigger ones and cases with bad-quality surrounding tissues. Ideally, a thin double-layer mucosal tissue is required, but there a...

OBJECTIVE To evaluate and compare the success rates of simple and layered repairs of urethrocutaneous fistulae after hypospadias repair. PATIENTS AND METHODS The charts of 72 children who developed fistulae after hypospadias repair were reviewed; 39 had a simple closure of the fistula, whereas 32 had a 'pants over vest' repair, in all cases after excluding an impairment of urine outflow. RE...

absractwe are presenting a case of abdominal tuberculosis who had peritonitis and twolarge enteroliths were removed from the small intestine during laparotomy. followinga full course of medical treatment, she developed small bowel obstruction andtreated by laparotomy & enterolysis but showed no evidence of stricture. we had adiagnostic and management challenge which will be discussed along with...

Background: Anal fistulae, especially the complex and the high ones, are a challenge to treat even for an experienced surgeon. Hence, there is a need to preoperatively evaluate anal fistula to reduce the rate of recurrence. Objective: This study was embarked on to evaluate the natural course of anal fistula and its management. Goodsall’s rule, which predicts the course of fistulous tracts, was ...

Introduction: The management of cerebrospinal fluid (CSF) fistulae after skull base surgery or trauma is challenging for the neurosurgeons. Surgical exploration and repair is an option but it is an invasive procedure with possibility of failure to detect fistulae. Placement of lumbar drain has shown variable success rate in different studies. This study was conducted to determine the success of...

Neglected prolonged obstructed labour is the most common cause of genital tract fistulae worldwide. Pressure necrosis of soft pelvic tissues occurs between the impacted fetal presenting part and the bony maternal pelvis. Other obstetric reasons for genital tract fistulae include vaginal trauma and laceration from instrumental deliveries or spontaneous vaginal deliveries, from Caesarean sections...

Clinical and radiological aspects of 86 patients with oro-antral fistulae were studied and two commonly employed methods of repair were compared. Fistulae were found to be twice as common in males as in females. The highest frequency was recorded in the fourth decade (41%), and the commonest site was the first molar region (49%). All patients had antral infection which is attributed to the long...