| Autor: |
raafat anani, Emad Salah Ibrahim, Mahfouz Shehata Ibrahim Ahmed |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
The Egyptian Journal of Plastic and Reconstructive Surgery. 44:25-29 |
| ISSN: |
1110-0044 |
| DOI: |
10.21608/ejprs.2020.88879 |
| Popis: |
Background: Palatal fistula is the most common complicationfollowing cleft palate repair. Plenty of reconstructiveprocedures have been described for repair of these fistulas.This study describes a reliable technique of vertical proximallybased turn over gingivolabial myomucosal flap for closure ofanterior palatal fistulas.Methods: Thirty four patients presented with large sizesanterior palatal fistulas underwent closure using verticalproximally based turn over gingivolabial myomucosal flaps.The procedure is a single stage with nasal layer closure whileoral layer left for re epithelialization.Results: All flaps completely survived. Two out of 34flaps (5.8%) suffered distal necrosis which improved afterdebridement and secondary suturing but no other complications.All fistulas were completely healed without any evidenceof recurrence during a mean follow-up period of 18 months.Conclusion: The vertical proximally based turn overgingivolabial myomucosal flap is a simple single stage technique.The flap is a reliable good option for closure of anteriorfistula in presenting age groups without donor site morbidity.It is suited for most anterior located palatal fistulas andmedium sized ones. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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