Abstract
Aim
To check the efficacy of dorsal tongue flap in closure of anterior palatal fistula without using any fixation devices.
Material and Method
It is a prospective study in which 20 patients of anterior palatal fistula, larger than 5 mm, attending the outpatient department of oral and maxillofacial surgery, Genesis Institute of Dental Sciences and Research, Ferozpur over a period of 5 years (from November 2005 to January 2011) were included. The surgical treatment was divided into 2 stages—raising of the flap on the tongue and transfer of the flap from the dorsum of the tongue to fistula site and then separation of flap and its adjustment at the site of defect after an interval of 3 weeks minimum. Follow-up was done for 3 and 6 months.
Result
Successful closure was achieved in 90 % of the cases. 80 % patients experienced decrease in hypernasality. In none of the cases decrease in size of tongue, loss or change in taste sensation, difficulty in speech, difficulty in swallowing or bulkiness of flap was observed.
Conclusion
The results obtained during the course of this study strongly support the method used to close the anterior palatal fistula. It is concluded that the dorsal tongue flap is the highly successful method without the need of additional fixation devices in closure of anterior palatal fistula.
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References
Converse JW (1972) Reconstructive plastic surgery, vol 3. W.B. Saunders Company, Philadelphia, pp 1930–2212
Campbell R (1962) Fistula in the hard palate following cleft palate surgery. Br J Plast Surg 15:377
Guzel MZ, Altintas F (2000) Repair of large, anterior palatal fistulas using thin tongue flaps: long-term follow-up of 10 patients. Ann Plast Surg 45:109–114 (discussion 114–117)
Millard RD (1980) Cleft craft—the evolution of its surgery vol III—alveolar & palatal deformities. Little Brown & Co., Boston, pp 809–894
Visscher SH, van Minnen B, Bos RRM (2010) Closure of oroantral communications: a review of literature. J Oral Maxillofac Surg 68:1384–1391
Edgerton MT, De Vito RV (1956) Reconstruction of major defects of palate. Plast Reconstr Surg 17:105–129
Bakamjian VY (1976) Tongue flaps, operative surgery, 3rd edn. Buttersworth, London, Boston, pp 184–192
Guerrero-Santos J, Garay J, Torres A, Altamirano JT (1969) Tongue flap with triple fixation in secondary cleft palate surgery. In: Sanvenero-Rosselli G, Boggio-Robutti C (eds) Transactions of the fourth international congress of plastic surgeons. Excerpta Medica Foundation, Amsterdam, p 396
Piggot RW, Reiger FW, Moodie FA (1984) Tongue flap repair of cleft palate fistula. Br J Plast Surg 37:285–293
Elyassi AR, Helling ER, Closmann JJ, Honolulu, HI tripler army medical center (2011) Closure of difficult palatal fistulas using a “parachuting and anchoring” technique with the tongue flap. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112(6):711–714
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Sodhi , S.P.S., Kapoor, P. & Kapoor, D. Closure of Anterior Palatal Fistula by Tongue Flap: A Prospective Study. J. Maxillofac. Oral Surg. 13, 546–549 (2014). https://doi.org/10.1007/s12663-013-0518-3
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DOI: https://doi.org/10.1007/s12663-013-0518-3