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Closure of palatal fistula with local double-breasted mucoperiosteal flaps
Faculty
Medicine
Year:
2012
Type of Publication:
Article
Pages:
E237-E240
Authors:
Anani, Raafat Abd-Allatif, Aly, Ahmed Mohamed
DOI:
10.1016/j.bjps.2012.02.011
Journal:
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY ELSEVIER SCI LTD
Volume:
65
Research Area:
Surgery
ISSN
ISI:000307657500001
Keywords :
Palatal fistula, Double breasted, Oronasal
Abstract:
Introduction and objectives: Despite improvement to surgical techniques of cleft-palate surgery, palatal fistulas remain a challenge. Many surgical procedures have been described for repair of these fistulas either by using the local tissue or by importing a new tissue from adjacent areas. In this report, we describe our technique for closure of palatal fistula using double-breasted mucoperiosteal flaps based on the greater palatine artery. Patients and methods: Eight patients with oronasal fistulas located in the posterior two-thirds of the hard palate following cleft-palate repair were treated by double-breasted mucoperiosteal flaps with an overlapping zone of 1-2 cm. Results: All fistulas successively healed, none of our patients developed any significant postoperative bleeding, infection or fistula recurrence. Conclusions: Double breasated mucoperiostial flap is a simple successful option for correction of oronasal fistula. (C) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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