Closure of Oronasal Fistulae Post Palatoraphy with Tongue Flap in Bilateral Complete Cleft Lip Palate Patient: A Case Report
10.21315/aos2021.16.s1.10
- Author:
Menik Sayekti
1
;
Liska Barus
1
;
Ni Putu Mira Sumarta
1
;
Norifumi Nakamura
2
Author Information
1. Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Universitas Airlangga, Kota Surabaya, Jawa Timur 60132, Indonesia
2. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kagoshima University, Kagoshima City 890-8544, Japan
- Publication Type:Case Reports
- Keywords:
Intraoral reconstruction;
Oronasal fistulae;
Pedicled flap;
Tongue flap
- MeSH:
Dental Fistula;
Surgical Flaps
- From:Archives of Orofacial Sciences
2021;16(SUPP 1):59-65
- CountryMalaysia
- Language:English
-
Abstract:
ABSTRACT:Oronasal fistulae are common complication following palatoraphy. There are several surgical procedures
to repair oronasal fistulae. However, conventional oronasal fistulae closure technique is not always
possible, especially when the surrounding tissue is replaced by fibrotic tissue due to previous palatoraphy.
Tissue defects in oronasal fistulae should be replaced with tissues providing good vascularisation
such as pedicle tongue flap. A case of pedicle tongue flap used to close oronasal fistulae was reported.
Eleven-year-old girl, presented with oronasal fistulae and bilateral alveolar cleft after previous
palatoraphy. The oronasal fistulae were closed with pedicled tongue flap. The healing was uneventful,
and the division of the pedicle tongue flap was done three weeks later and closed primarily. There was
no dehiscence of the wound and masticatory functions were recorded. Vascularised flap such as pedicle
tongue flap is a preferred technique to close oronasal fistulae after palatoraphy.
- Full text:2.2021my0034.pdf
