Long-term Results of Three-layered Closure of Oronasal Fistula: A Case Report.

Autor:	Zielinska-Kazmierska B; Balance Disorders Unit, Department of Otolaryngology, Head and Neck Oncology, Norbert Barlicki Memorial Teaching Hospital No. 1 of the Medical University of Lodz, Lodz, Poland., Grodecka J; Balance Disorders Unit, Department of Otolaryngology, Head and Neck Oncology, Norbert Barlicki Memorial Teaching Hospital No. 1 of the Medical University of Lodz, Lodz, Poland., Lucas Grzelczyk W; Balance Disorders Unit, Department of Otolaryngology, Head and Neck Oncology, Norbert Barlicki Memorial Teaching Hospital No. 1 of the Medical University of Lodz, Lodz, Poland., Jozefowicz-Korczynska M; Balance Disorders Unit, Department of Otolaryngology, Head and Neck Oncology, Norbert Barlicki Memorial Teaching Hospital No. 1 of the Medical University of Lodz, Lodz, Poland.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2021 Dec 17; Vol. 9 (12), pp. e3964. Date of Electronic Publication: 2021 Dec 17 (Print Publication: 2021).
DOI:	10.1097/GOX.0000000000003964
Abstrakt:	An oronasal fistula is an interconnection between the oral and nasal cavities. It interferes with normal functioning and affects quality of life by impeding eating and speech. The most common management strategy is surgical treatment. The aim of our study was to present the results of a long-term follow-up of effective treatment of a case of oronasal fistula that occurred without any cause and comorbidities. A 46-year-old woman reported the sudden appearance of a painless oronasal fistula. She demonstrated nasal regurgitation-that is, loss of fluids through the nose while drinking-and slurred' nasal speech. Clinical examination revealed a soft tissue defect (diameter: 5 mm) on the left side of the palate. Computed tomography revealed a gap in the hard palate bone, measuring 25 × 30 mm. No complications were noted following the procedure, nor at 10-year follow-up. It seems that the use of bone substitute and palatal flap for spontaneous oronasal fistula closure was fully justified. The patient may have had an undiagnosed congenital defect of the hard palate, and the deficit may have appeared due to bone loss occurring in her forties. However, no consensus exists regarding the best treatment management for oronasal fistulae located in the palatal region, and further comparative studies between the existing techniques are needed. Competing Interests: Disclosure: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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