Dra. Angélica Paulos 

After palate closure, communication between the mouth and nose may persist through a palate defect. The ideal is to close these communications if they present discomfort such as leakage of liquids or food into the nose. The appropriate time to close the fistula will depend on when the diagnosis is made and according to the age of the child, hoping that they will be as cooperative as possible. This photo shows a closure of a palatal fistula located between the hard palate and the soft palate. The closure is always performed in two planes, that is, the mucosa that goes to the nose and the mouth mucosa. The stitches fall off on their own over the course of weeks.