A novel technique myomucosal rotational upper lip flap for anterior palatal fistula closure

Author:

Solano Nicolas12,Carcelén Francisco3,Oropeza Rafael3,López Patricia2

Affiliation:

1. Department of Head, Oral and Maxillofacial Surgery Unit, Hospital Universitario, Maracaibo, Venezuela

2. Department of Oral Surgery Unit, School of Dentistry, Universidad del Zulia, Maracaibo, Venezuela

3. Department of Oral and Maxillofacial Surgery Unit, Hospital Dr. Adolfo Prince Lara, Puerto Cabello, Carabobo, Venezuela

Abstract

ABSTRACT Palatal fistulas are a pathological condition where there is a connection between the nasal area and the oral cavity, being one of the most frequent complications in cleft palate surgery. Palatal fistulas can cause esthetic defects and functional alterations in both feeding and speech of patients. Anterior palatal fistulas are the least common but represent a great surgical challenge for the surgeon because of their location and poor amount of tissue for closure. The purpose of this article is to present a novel technique of performing an upper lip myomucosal rotation flap for the closure of an anterior fistula, taking advantage of the labial tissue for a tension-free suture in the area of the fistula. Our technique allowed an adequate management of the fistula with low morbidity and without flap necrosis, proposing it as a useful technique for the closure of anterior fistulas.

Publisher

Medknow

Reference10 articles.

1. Tongue flap for management of large palatal fistulas;Giugliano;J Craniofac Surg,2022

2. Closure of anterior post-palatoplasty fistula using superior lip myomucosal flap;Abdel-Aziz;Int J Pediatr Otorhinolaryngol,2008

3. Utilization of the labial flap in anterior palatal fistula repair;Lebhar;Eplasty,2022

4. Orbicularis oris musculomucosal flap for anterior palatal fistula;Tiwari;Indian J Plast Surg,2006

5. Nasoplatine Island advancement flap for closure of anterior palatal fistula in patient with isolated cleft palate;Rahpeyma;J Craniofac Surg,2019

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Tratamiento de una fístula palatina anterior como secuela de una maxilectomía por murcomicosis;Latin American Journal of Oral and Maxillofacial Surgery;2024

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