Affiliation:
1. Department of Oral and Plastic Maxillofacial Surgery, Ruhr-University, Bochum, Germany.
Abstract
Objective: Three case reports of microsurgically revascularized tissue transfer for secondary closure of complex oronasal fistulae in cleft lip and palate patients are reported. One scapular and two radial forearm flaps were used in that respect; the scapular flap was transferred without a skin paddle and was left for secondary epithelialization whereas iliac crest bone was transplanted in the two patients with the forearm flaps in a further surgical step. Conclusions: These microsurgical flaps represent solutions in selected cases of oronasal fistulae in patients with cleft lip and palate with extensive scarring, large defects, or both. Alternative free flaps of the vast spectrum available today, however, also deserve consideration.
Subject
Otorhinolaryngology,Oral Surgery
Cited by
16 articles.
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2. Bad Results in Cleft Palate Surgery;Atlas of Non-Desirable Outcomes in Cleft Lip and Palate Surgery;2022
3. Use of Free Flaps in Palatal Fistula;Surgical Atlas of Cleft Palate and Palatal Fistulae;2022
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5. Mucoperiosteal Flap Necrosis After Primary Palatoplasty in Patients with Cleft Palate;Surgical Atlas of Cleft Palate and Palatal Fistulae;2022