Correction of palatine fistulas with a musculo-mucosal buccinator flap: results of 6 cases after 27 years
Autor: | Antonio Roberto Bozola |
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Jazyk: | English<br />Portuguese |
Rok vydání: | 2018 |
Předmět: | |
Zdroj: | Revista Brasileira de Cirurgia Plástica, Vol 33, Iss 02, Pp 196-203 (2018) |
Druh dokumentu: | article |
ISSN: | 1983-5175 2177-1235 |
DOI: | 10.5935/2177-1235.2018RBCP0095 |
Popis: | Introduction: The buccal musculo-mucosal patch, described in 1989, can be used to correct palatine fistulas and fissures with stretching of the soft palate, or to cover bloody areas after tumor resection. Methods: This is an analysis of the 27-year postoperative results for 6 patients who underwent operation at Base Hospital and Santa Casa de São José do Rio Preto between 1984 and 1989, and reassessed in 2016, when a myo-buccinator mucosa was used for cleft palate correction. Results: Of the 36 operated cases, 6 were reevaluated after 27 years, of which 5 had primary correction and 1 had a secondary correction (fistula after cleft palate closure). All the cases had satisfactory results in terms of maxillary growth, correction of the palatine fistula, and speech function. Conclusion: Although not statistically significant, the present study demonstrated that the buccal musculo-mucosal flap is an adequate procedure for correction and stretching of the palate, with normal or near-normal maxillary growth and practically normal speech even without adequate phono-audiological treatment. |
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