scholarly journals Single layer closure of palatal fistula using anteriorly based dorsal tongue flap

2009 ◽  
Vol 8 (2) ◽  
pp. 199-200 ◽  
Author(s):  
H. S. Charan Babu ◽  
A. Bhagvandas Rai ◽  
Manju Ananthakrishnan Nair ◽  
Meenakshi
Keyword(s):  
Single Layer ◽  
Palatal Fistula ◽  
Tongue Flap ◽  
Dorsal Tongue

scholarly journals Single-layer Closure with Tongue Flap for Palatal Fistula in Cleft Palate Patients

2016 ◽  
Vol 4 (8) ◽  
pp. e852 ◽  
Author(s):  
Abdulla K. Alsalman ◽  
Emran A. Algadiem ◽  
Mufeed Saeed Alwabari ◽  
Fatimah Jawad Almugarrab
Keyword(s):  
Cleft Palate ◽  
Single Layer ◽  
Palatal Fistula ◽  
Tongue Flap

scholarly journals RECURRENT PALATAL FISTULA AND NASAL REGURGITATION;

2013 ◽  
Vol 20 (03) ◽  
pp. 390-398
Author(s):  
IRFAN ISHAQ ◽  
GHULAM QADIR FAYYAZ
Keyword(s):  
Social Stigma ◽  
Donor Site ◽  
Case Series ◽  
Fistula Closure ◽  
Medical Sciences ◽  
Palatal Fistula ◽  
Tongue Flap ◽  
Dorsal Tongue ◽  
Cleft Palate Repair ◽  
Nasal Regurgitation

Background: Post Palatoplasty fistulas are the common complications seen after cleft palate repair. This produce varioussymptoms including regurgitation of fluids into nasal cavity, interference with normal speech and middle ear problems . Although smallfistulas can be successfully treated with local flaps such as palatal or buccal mucosal flaps, large fistulas are difficult to treat. Because ofrich blood supply, tongue is a suitable and convenient source of large flap. The anteriorly based dorsal tongue flap is a safe and effectivemethod for closure of relatively large recurrent palatal fistula without any functional impairment of donor site. Objective: To determine thesuccess rate of Tongue flap in correction of the nasal regurgitation in recurrent palatal fistulas Duration of study: 12 months from 16thJuly 2010 to 15th July 2011. Study design: It was descriptive case series. Settings: This study was carried out in the department ofplastic surgery Services institute of medical sciences, Services Hospital Lahore. Methods: Forty patients who were having recurrentpalatal fistula included in this study. All underwent palatal fistula repair by dorsal tongue flap. Each patient was followed after one month ofoperation for fistula closure and correction of nasal regurgitation. Results: In this study 65 percent of the patients were male, while 35percent of them were female. 21 (52.5%) of the patients belonged to age group 10-15 years, while 14 (35.0%) of the respondents had 16-20 years of age and remaining 5 (12.5%) of them had 21-30 years of age. The 90 percent (out of 40) of the patients had complete fistulaclosure, while only 10.0 percent of them had not complete fistula closure. Nasal regurgitation was corrected in 38 (95 %) of the patientsand remaining 2 ( 5%) patients had un-corrected nasal regurgitation. Conclusions: Tongue flap is a effective and reliable method oftreatment, not only for palatal fistula closure but also treating nasal regurgitation which is a social stigma for patients in recalcitrant palatalfistula.

scholarly journals Tongue flap as salvage procedure for recurrent and large palatal fistula after cleft palate repair

2018 ◽  
Vol 15 (2) ◽  
pp. 88
Author(s):  
Advait Prakash ◽  
Sangram Singh ◽  
Shailesh Solanki ◽  
Bhavesh Doshi ◽  
Venkatesh Kolla ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Salvage Procedure ◽  
Palatal Fistula ◽  
Tongue Flap ◽  
Cleft Palate Repair ◽  
Palate Repair

scholarly journals Closure of a recurrent giant palatal fistula with tongue flap

2019 ◽  
Vol 6 (2) ◽  
pp. 166-168
Author(s):  
Rahul VC Tiwari ◽  
Philip Mathew ◽  
Manoj Kumar Bhaskaran ◽  
Varun Menon P ◽  
Kritika Sehrawat
Keyword(s):  
Palatal Fistula ◽  
Tongue Flap

scholarly journals Secondary cleft deformities: case report and review of literature

2019 ◽  
Vol 5 (8) ◽  
pp. 228
Author(s):  
Deborah Sybil ◽  
Imran Khan ◽  
Priyanka Kapoor ◽  
Anshul Singhal ◽  
Vanshika Jain
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Normal Growth ◽  
Surgical Interventions ◽  
Palatal Fistula ◽  
Tongue Flap ◽  
Normal Functions ◽  
Primary Surgery ◽  
Secondary Deformity ◽  
The Masses

<p class="abstract">The aim of this paper is to highlight the iatrogenic aspect of secondary cleft deformity, methodologies to treat them and the importance of reporting such cases. Secondary deformities are common in cleft lip and palate patients. Primary aim of treatment in cleft patients is to enhance their normal growth and development and minimize morbidity and number of operative procedures. Meticulous diagnosis, treatment planning and execution of primary surgery are of utmost importance in such cases to prevent majority of secondary deformities. Treatment of secondary deformity depends on the degree of deformity and the severity of impact on normal functions and growth. Following is a case of 16-year-old female patient who incurred secondary cleft deformities after undergoing multiple surgical interventions for congenital bilateral cleft lip alveolus and palate, last of which was conducted at the age of 6 years. Lip revision and tongue flap surgeries to close the palatal fistula were performed to address the patient’s complaint and improve quality of life. Performing a tongue flap for anterior palatal fistula was more successful than Bardach’s palatoplasty technique.<strong> </strong>It is important that each case encountered at various congenital defect care facilities is reported in literature to make the masses aware of probably outcomes and also help maintain a database to have more accurate data of such cases.</p>

scholarly journals Posteriorly based dorsal tongue flap in buccal carcinoma: an institutional experience

2019 ◽  
Vol 5 (3) ◽  
pp. 714
Author(s):  
Pankaj Kumar Sahu ◽  
Kamal Deep Joshi ◽  
Manmohan Singh Brar
Keyword(s):  
Local Excision ◽  
Buccal Mucosa ◽  
Wide Local Excision ◽  
Total Duration ◽  
Early Carcinoma ◽  
Rank Test ◽  
Tongue Flap ◽  
Dorsal Tongue ◽  
Institutional Experience ◽  
Marginal Mandibulectomy

<p class="abstract"><strong>Background:</strong> Defect following surgical management of Squamous cell carcinoma of buccal mucosa ofter requires reconstruction for restoration of form and function of oral cavity. Posteriorly based dorsal tongue flap is well known, but less utilised technique for such reconstruction. The aim of this article is to present institutional experience of posteriorly based dorsal tongue flap as a reconstructive option in selected cases of carcinoma of buccal mucosa after wide local excision with marginal mandibulectomy and its impact on rehabilitation.</p><p class="abstract"><strong>Methods:</strong> In this cohort study, twelve selected cases of early carcinoma buccal mucosa, who underwent surgical excision with marginal mandibulectomy with reconstruction with posteriorly based dorsal tongue flap were included and followed up for atleast one year. Objective evaluation of swallowing and subjective evaluation of speech was done. The total duration of the study was three years. Statistical analysis was done using Friedman test and Wilcoxon Sign-Rank test using SPSS 2.0.  </p><p class="abstract"><strong>Results:</strong> The result of the study showed that there is significant reduction in swallowing function in post-operative period as determined by MDADI score. However there is significant improvement at Six weeks compared to 10th post-operative day. The speech also remains intelligible. No flap related complication was observed.</p><p class="abstract"><strong>Conclusions:</strong> Posteriorly based dorsal tongue flap is a simple, reliable and versatile flap for reconstruction of surgical defects following wide local excision and marginal mandibulectomy for early carcinoma of buccal mucosa, without substantial morbidity and with satisfactory swallowing and speech.</p>

scholarly journals A retrospective analysis of incidence and management of palatal fistula

2018 ◽  
Vol 51 (03) ◽  
pp. 298-305 ◽  
Author(s):  
Ravi Kumar Mahajan ◽  
Amreen Kaur ◽  
Sardar Mahipal Singh ◽  
Prakash Kumar
Keyword(s):  
Cleft Palate ◽  
Retrospective Analysis ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Local Flaps ◽  
Palatal Fistula ◽  
Tongue Flap ◽  
Radial Forearm ◽  
Cleft Palate Repair ◽  
Palate Repair

ABSTRACTBackground: Cleft palate repair may be compromised by a number of complications, most commonly the development of a fistula. Fistulas may cause hypernasal speech, articulation problems and food or liquid regurgitation from the nose. Objective: The study determines the incidence and management of cleft palatal fistulas in a series of primary cleft palate repair surgeries. It is a retrospective analysis of total 185 palatal fistula cases operated at our hospital from the year 2004 to 2016. Subjects and Methods: Of 185 palatal fistulas, 132 cases had been operated at our institute for primary palatoplasty, and the rest 53 were the outside-operated cases. The patients with bilateral as well as unilateral cleft lip and palate were included. Isolated cleft palate patients were also included in the study. Palatal fistulas were subdivided into three types depending on their size. Anterior palatal fistulas were mostly treated by using tongue flap (65.57%), followed by local flaps (34.43%). Middle and posterior palatal fistulas were mostly treated by von Langenbeck Palatoplasty. One patient (>5 mm fistula) was treated using free radial forearm flap. Results: Anterior palatal fistulas (65.57%) were most commonly reported, followed by middle (24.86%) and posterior (9.18%). Most commonly, the size of the fistulas ranged from 2 mm to 5 mm. The complication rate was reported to be 3.75% in case of tongue flap and 11.9% complications were reported in case of local flaps. Conclusion: Tongue flap remains the flap of choice for managing very difficult and challenging anterior palatal fistulas compared to local flaps.

scholarly journals Repair of the palatal fistula by the use of the tongue flap

1974 ◽  
Vol 20 (6) ◽  
pp. 609-613
Author(s):  
Tsuyoshi KAWAI ◽  
Tadashi YAMAMOTO ◽  
Yoshinori YOSHIKAWA ◽  
Kazuo SHIMOZATO ◽  
Masahiro IKEHATA ◽  
...  
Keyword(s):  
Palatal Fistula ◽  
Tongue Flap

scholarly journals Closure of anterior palatal fistula using tongue flap: our experience

2016 ◽  
pp. 4705-4708
Author(s):  
Peerzada Baba ◽  
Tawheed Ahmad ◽  
Mir Mohsin ◽  
Haroon Zargar ◽  
Adil Wani ◽  
...  
Keyword(s):  
Palatal Fistula ◽  
Tongue Flap
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