Pedicled palatal flap for surgical repair of oro-nasal fistula

R. Rauso, G. Tartaro, L. Califano, L. Rugge, F. Chirico, G. Colella

Article ID: 5313
Vol 32, Issue 6, 2018
DOI: https://doi.org/10.54517/jbrha5313
Received: 8 January 2019; Accepted: 8 January 2019; Available online: 8 January 2019; Issue release: 8 January 2019

Abstract

Oronasal fistula can occur secondary to various pathologies, but cleft surgery is the most common. The authors propose a pedicled palatal flap technique for surgical repair of small oronasal fistula (0.5-0.8 cm), derived from their experience in the treatment of 7 patients between March 2003 and December 2007. In one case, the fistula was induced by prolonged snorting of cocaine. In the other cases, the fistulas developed after excision of a benign tumor of the palate. For the cocaine-induced fistula, failure of the repair attempt was apparent within 7 days of surgery. In all other cases, complete fistula closure was obtained, and no complications occurred.


Keywords

palatal fistula;palatal flap;oronasal communication


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