scholarly journals Anterior-based Tongue Flap for repair of recurrent wide anterior palatal fistula, refreshment of the technique and the outcome.

2020 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Mohammad Alekrashy ◽  
wael Elshahat ◽  
Hesham Kassem
Keyword(s):  
2016 ◽  
Vol 4 (8) ◽  
pp. e852 ◽  
Author(s):  
Abdulla K. Alsalman ◽  
Emran A. Algadiem ◽  
Mufeed Saeed Alwabari ◽  
Fatimah Jawad Almugarrab

2018 ◽  
Vol 15 (2) ◽  
pp. 88
Author(s):  
Advait Prakash ◽  
Sangram Singh ◽  
Shailesh Solanki ◽  
Bhavesh Doshi ◽  
Venkatesh Kolla ◽  
...  

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

Author(s):  
Deborah Sybil ◽  
Imran Khan ◽  
Priyanka Kapoor ◽  
Anshul Singhal ◽  
Vanshika Jain

<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>


2018 ◽  
Vol 51 (03) ◽  
pp. 298-305 ◽  
Author(s):  
Ravi Kumar Mahajan ◽  
Amreen Kaur ◽  
Sardar Mahipal Singh ◽  
Prakash Kumar

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.


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

Author(s):  
Peerzada Baba ◽  
Tawheed Ahmad ◽  
Mir Mohsin ◽  
Haroon Zargar ◽  
Adil Wani ◽  
...  
Keyword(s):  

2001 ◽  
Vol 38 (5) ◽  
pp. 432-437 ◽  
Author(s):  
Myung-Jin Kim ◽  
Jong-Ho Lee ◽  
Jin-Young Choi ◽  
Nara Kang ◽  
Jong-Hwan Lee ◽  
...  

Objective: When an alveolar cleft is too large to close with adjacent mucobuccal flaps or large secondary fistula following a primary bilateral palatoplasty exists, a one-stage procedure for bone grafting becomes challenging. In such a case, we have used the tongue flap to repair the fistula and cleft alveolus followed by bone grafting to the cleft defect performed several months later. The purpose of this article is to report on our experiences with the use of an anteriorly based Y-shaped tongue flap to fit the palatal and labial alveolar defects and on the ultimate result of the bone graft. Patients: A series of 14 patients were treated with this approach from January 1994 to December 1998. The average age of the patients was 15.8 years (range 5 to 28 years). The mean period of follow-up following the second stage bone graft operation was 45.9 months (range 9 to 68 months). In 9 of the 14 patients, the long-fork type of a Y-shaped tongue flap was used for extended coverage of the labial-side alveolar defects with the palatal fistula; in the remaining patients, the short-forked design was used. Results: All patients demonstrated a good clinical result after the initial repair of cleft alveolus and palatal fistula. There was no fistula recurrence, although partial necrosis of distal margin in long-forked tongue flap occurred in one patient. Furthermore, the bone graft, which was performed an average of 8 months after the tongue flap repair, was always successful. Occasionally, transferred tongue tissue bulging interfered with the hygienic care of nearby teeth; however, these problems could be solved with proper contour-plasty performed afterward. No donor site complications such as sensory disturbance, change in taste, limitations in tongue movement, normal speech impairments, or tongue disfigurement were encountered. Conclusion: This two-stage reconstruction of a bilateral cleft alveolus using a Y-shaped tongue flap and iliac bone graft was very successful. It may be indicated for a bilateral cleft alveolus patient in which the direct closure of the cleft defect with adjacent tissue or the buccal flap is not easy because of scarred fibrotic mucosa and accompanied residual palatal fistula.


2013 ◽  
Vol 50 (4) ◽  
pp. 491-493 ◽  
Author(s):  
Munisamy Ragavan ◽  
Uppalu Haripriya ◽  
Sankala Rajeshkumar ◽  
Janarthanam Sarvavinothini

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