scholarly journals Evaluation of the role of tongue flap in recurrent large palatal fistula repair

2021 ◽  
Vol 12 (1) ◽  
pp. 66-69
Author(s):  
Mohamed Abdeldayem
Keyword(s):  
Fistula Repair ◽  
Palatal Fistula ◽  
Tongue Flap

scholarly journals Role of tongue flap in palatal fistula repair: A series of 41 cases

2014 ◽  
Vol 47 (02) ◽  
pp. 210-215 ◽  
Author(s):  
Ravi Kumar Mahajan ◽  
Rahul Chhajlani ◽  
Harish C. Ghildiyal
Keyword(s):  
Central Position ◽  
Local Flaps ◽  
Fistula Closure ◽  
Fistula Repair ◽  
Tissue Quality ◽  
Palatal Fistula ◽  
Tongue Flap ◽  
Repair Materials

ABSTRACT Introduction: Despite the improved techniques of repair of cleft palate, fistula occurrence is still a possibility either due to an error in the surgical technique or due to the poor tissue quality of the patient. Though commonly the fistula closure is established by use of local flaps but at times the site and the size of the fistula make use of local flaps for its repair a remote possibility. The use of tongue flaps because of the central position in the floor of the mouth, mobility and the diversity of positioning the flaps make it a method of choice for closure of anterior palatal fistulae than any other tissues. The aim of this study was to analyse the utility of tongue flap in anterior palatal fistula repair. Materials and Methods: We had 41 patients admitted to our hospital during the period 2006-2012 for repair of palatal fistula and were enrolled into the study. In the entire 41 cases, fistula was placed anteriorly. The size of the fistulae varied from 2 cm × 1.5 cm to 5.5 cm × 3 cm. The flaps were divided after 3-week and final inset of the flap was done. Observation and Result: None of the patients developed flap necrosis, in one case there was the dehiscence of the flap, which was reinset and in one patient there was bleeding. None of our patients developed functional deformity of the tongue. Speech was improved in 75% cases. Conclusion: Leaving apart its only drawback of two-staged procedure and transient patient discomfort, tongue flap remains the flap of choice for managing very difficult and challenging anterior palatal fistulae.

Addition to the Toolbox of Surgical Techniques for Palatal Fistula Repair

2021 ◽  
pp. 105566562110037
Author(s):  
Catherine de Blacam ◽  
David Orr
Keyword(s):  
Bone Graft ◽  
Cancellous Bone ◽  
Hard Palate ◽  
Surgical Techniques ◽  
Cancellous Bone Graft ◽  
Fistula Repair ◽  
Palatal Fistula

In response to the article by Rothermel and colleagues, the authors suggest the use of cancellous bone graft for repair of fistulae of the hard palate as an addition to the proposed toolbox.

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 Reintegration of Women Post Obstetric Fistula Repair: Experience of Family Caregivers

2017 ◽  
Vol 4 ◽  
pp. 233339361771492 ◽  
Author(s):  
Kimberly Jarvis ◽  
Solina Richter ◽  
Helen Vallianatos ◽  
Lois Thornton
Keyword(s):  
Family Member ◽  
Family Caregivers ◽  
Obstetric Fistula ◽  
Family Members ◽  
Ethnographic Study ◽  
Northern Ghana ◽  
Fistula Repair ◽  
The Social ◽  
Return Home

In northern Ghana, families traditionally function as the main provider of care. The role of family, however, is becoming increasingly challenged with the social shifts in Ghanaian culture moving from extended kinship to nuclear households. This has implications for the care of women post obstetric fistula (OF) repair and their family members who assist them to integrate back into their lives prior to developing the condition. This research is part of a larger critical ethnographic study which explores a culture of reintegration. For this article, we draw attention to the findings related to the experience of family caregivers who care for women post OF repair in northern Ghana. It is suggested that although family caregivers are pleased to have their family member return home, there are many unanticipated physical, emotional, and economic challenges. Findings lead to recommendations for enhancing the reintegration process and the need for adequate caregiving support.

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>

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