Abstract

GALICIA PARTIDA, Alejandro Israel  and  RAMIREZ LUGO, Raymundo. Reconstruction of anterior palatal fistula with anterior-based lingual flap. Case report. Rev. Odont. Mex [online]. 2016, vol.20, n.1, pp.50-56. ISSN 1870-199X.  https://doi.org/10.1016/j.rodmex.2016.02.008.

Oro-nasal fistulae are amongst the most common sequels after surgical repair procedures of cleft palate patients. The aim of the present study was to present the experience of using tongue flaps for closure of wide (over 1 cm) anterior palatal fistulae, or in those cases when surgery had previously failed. Closure with tongue flaps of anterior palatal fistulae larger than 1 cm, or when previous treatments have failed is one of the most successful treatment options reported in scientific literature. In the present article we introduce the case of a 23 year old male with bilateral cleft palate and lip surgery sequels. The patient attended the Maxillofacial and Oral Clinic of the Graduate and Research School. Intra-oral exploration revealed a 2.5 diameter anterior palatal fistula. The patient informed of a history of several failed surgical attempts; it was therefore decided to close the anterior palatal fistula with an anterior based tongue flap.

Keywords : Tongue flap; palatal fistula; oro-nasal fistula; cleft palate..

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