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.

scholarly journals REFLEKSI EPISTIMOLOGI DALAM METODOLOGI PENELITIAN (Suatu Kontemplasi atas Pekerjaan Penelitian)

2013 ◽  
Vol 5 (2) ◽  
Author(s):  
Saifullah Saifullah
Keyword(s):  
Research Methodology ◽  
Positive Impact ◽  
Research Process ◽  
Central Position ◽  
Building Science ◽  
Scientific Disciplines ◽  
Science Community ◽  
Quality Of Research

<p>Research methodology is the application of epistemology in philosophical which is realized by logico hypotetico verificative-deducto hypothetico verificative. The results of the evaluation of the quality of the research methodology that gave rise buildings recently become a standard formula valid and tested public. In this context it is necessary scrutiny of the functioning and the importance of pre usability, and value the benefits of the research process so that the quality of research produced a positive impact on building science researchers. The role of the researcher holds a central position of being able to adjust the ground circumstances. Benefit value for the benefit of life as the goal of research in theory and practical should be explicitly and implicitly always accompanies every step of research. A consequence of the value of the benefits of scientific research which is undertaken is delivering research results to the user community. The use of research methodologies in the study strongly influenced the extent of the ability of researchers and scientists at the clump science community are able to map the identity of the building a distinctive methodology of scientific disciplines that is useful for subsequent research.</p> <p>Metodologi Penelitian merupakan penerapan epistimologi secara filsafati yang diwujudkan dengan logico  hypotetico  verificative-deducto  hypothetico  verificative.  Hasil  evaluasi terhadap  kualitas  bangunan  metodologi  penelitian  yang  memunculkan  formula  baru menjadi standar yang valid dan teruji publik. Dalam konteks ini maka perlu pencermatan tentang fungsi dan kegunaan akan pentingnya pra, proses dan nilai manfaat riset agar kualitas riset yang dihasilkan berdampak positif pada bangunan keilmuan peneliti. Peran peneliti  memegang  posisi  sentral  karena  mampu  menyesuaikan  situasi  dan  kondisi lapangan. Nilai kemanfaatan bagi kemaslahatan hidup sebagai tujuan riset secara teoritis dan praktis sebaiknya secara eksplisit dan implisit selalu menyertai setiap langkah riset. Konsekuensi ilmiah dalam nilai manfaat riset yang dilakukan adalah menyampaikan hasilhasil riset ke masyarakat pengguna. Penggunaan metodologi penelitian dalam riset sangat dipengaruhi sejauhmana kemampuan peneliti dan komunitas ilmuan pada rumpun ilmu mampu memetakan jati diri bangunan metodologi disiplin keilmuan yang khas sehingga bermanfaat bagi peneliti berikutnya.</p>

scholarly journals ROLE OF AMALAKYADI RASAYANA IN LOWERING DOWN THE MORBIDITY RATE IN CHILDREN: A REVIEW

2020 ◽  
Vol 11 (5) ◽  
pp. 121-127
Author(s):  
Ajay Kushwaha ◽  
Nisha Kumari Ojha
Keyword(s):  
Immune System ◽  
Experimental Studies ◽  
Anthelmintic Activity ◽  
The Body ◽  
Morbidity Rate ◽  
Tissue Quality ◽  
Tissue Degeneration ◽  
Age Related

Children are more susceptible to various infections because of underdeveloped immune system as compared to adults. Strengthening the immune system is a natural way to help the body fight against the disease-causing pathogens and immunomodulators can play a major role in this context. Various Ayurveda classics and studies published in journals related to Ayurveda drugs for improving immunity are reviewed and analysed. In Ayurveda, the objective of immune enhancement is achieved through the use of the Amalakyadi Rasayana (an Immunomodulators), as it increases longevity of life, memory, intellect, luxture, complexion, voice, strength of the body functions, strength of all senses and provides the resistance to disease, improves glow and power. Analysis of classical references and various experimental studies show that Amalakyadi Rasayana posse immuno-modulatory, Antioxidant, Anti-inflammatory, Antimicrobial, Anthelmintic activity. Present paper is a review to update knowledge on pharmacological properties, therapeutic actions and possible mode of action of the selected formulation, Amalakyadi rasayana from Yogaratnakara (Rasayanadhikara/17) to enhance the immunity in children. Rasayana is an important part of Ayurvedic therapeutics used to improve the quality of life by strengthening the tissue quality and by reducing the age-related tissue degeneration. This study reveals that Amalakyadi Rasayana have potential to improve or strengthen the immune system in children and thereby can lower down the morbidity rate in children.

Successful combination of local flaps for large palatal fistula closure

Oral Surgery ◽  
2015 ◽  
Vol 9 (2) ◽  
pp. 119-122
Author(s):  
J. Perry ◽  
S. Bhopal ◽  
G. Bharadwaj ◽  
B. O'Regan
Keyword(s):  
Local Flaps ◽  
Fistula Closure ◽  
Palatal Fistula

Peningkatan Kualitas Sumber Daya Manusia Digital Pondok Pesantren (Studi Kasus di Pondok Pesantren Bidayatul Hidayah Mojogeneng Jatirejo Mojokerto)

2018 ◽  
Vol 1 (2) ◽  
pp. 35
Author(s):  
Isno Isno
Keyword(s):  
Human Resources ◽  
Interaction Analysis ◽  
Descriptive Analysis ◽  
Cultural Development ◽  
Central Position ◽  
Telecommunication Technology ◽  
Digital Human ◽  
To Receive

Human resources have a central position in realizing development performance. "The era of globalization today and in the future coupled with information technology has influenced the socio-cultural development of Indonesian Muslim society generally, or Islamic education, including pesantren in particular". That the Muslim community can not escape from the process of globalization, especially if you want to survive and triumph in the midst of an increasingly competitive world in the present and future. Based on the background, this study aims to examine the Improvement of the Quality of Digital Human Resources in Pondok Pesantren Bidayatul Hidayah Mojogeneng Jatirejo Mojokerto. This research is descriptive qualitative research. The researcher acts as a data collector and as an active instrument in the effort to collect data in the field. To obtain data related to the theme of research, used some data collection techniques as follows: Observation or observation Interview, and Documentation. Data analysis of the results of this study, conducted based on descriptive analysis, as developed by Mile and Huberman. The analysis consists of three interaction analysis paths that are data reduction, data presentation and conclusion drawing. From the results of the discussion can be concluded that Pondok Pesantren Bidayatul Hidayah Mojogeneng Jatirejo Mojokerto in order to Improve the Quality of Digital Human Resources do things as follows: 1) Development and Mastery Book Yellow / Salaf. 2) Program of development of basic sciences. Many benefits are felt with this program, including: a. The level of readiness of students to receive lessons is better. b. Ability of students to absorb material faster. c. Student creativity and motivation increase. 3) Development of Foreign Language Ability. 4) Development of Pesantren Through the Utilization of Information and Telecommunication Technology (ICT). 5) Improvement of the role of Organization of Santri / Santriwati. 6) Increasing Pesantren's Contribution to Community Development

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 Palatal Mucoperiosteal Expansion as an Adjunct to Palatal Fistula Repair: Case Report and Review of the Literature

1996 ◽  
Vol 33 (3) ◽  
pp. 255-257 ◽  
Author(s):  
Philip A. Van Damme ◽  
Hans Peter M. Freihofer
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Cleft Palate ◽  
Tissue Expander ◽  
Tissue Expansion ◽  
Review Of The Literature ◽  
Fistula Closure ◽  
Fistula Repair ◽  
Palatal Fistula ◽  
Oronasal Fistula

Case report of conventional palatal soft-tissue expansion in an attempt at cleft palate fistula closure with a standard tissue expander. This technique may be an alternative to a tongue flap to promote closure of persistent oronasal fistula.

scholarly journals The Versatility of the Tongue Flap in the Closure of Palatal Fistula

2012 ◽  
Vol 5 (3) ◽  
pp. 145-159 ◽  
Author(s):  
Sathish M.S. Vasishta ◽  
Gopal Krishnan ◽  
Y.S. Rai ◽  
Anil Desai
Keyword(s):  
Donor Site ◽  
Maxillofacial Surgery ◽  
Donor Site Morbidity ◽  
Early Postoperative Period ◽  
Oral And Maxillofacial Surgery ◽  
Fistula Closure ◽  
Palatal Fistula ◽  
Tongue Flap ◽  
Flap Viability ◽  
Clinical Records

Aims Tongue flaps were introduced for intraoral reconstruction by Lexer in 1909. A retrospective study was performed in the Department of Oral and Maxillofacial Surgery, S.D.M. College of Dental Sciences (Dharwad, India), to assess the use of tongue flap in closure of palatal fistula. Material and Methods A total of 40 patients treated for palatal fistulas were included in this study from the period of January 1, 2000, to January 1, 2007; fistulas present in anterior and midpalate were considered. Patients’ preoperative photographs, clinical records, and preoperative speech analysis were recorded. Following completion of fistula closure, patients were assessed over 6 months to check flap viability, fistula closure, residual tongue function, aesthetics, and speech impediment. Results A total of 40 (24 male and 16 female) patients with palatal fistulas were treated with tongue flap in our study. Six patients were 4 to 6 years old, three were 7 to 10 years old, and 22 were 11 to 20 years old, which accounts for 68% of study subjects. There were nine patients 21 to 30 years old. In the early postoperative period, we encountered bleeding in one patient and sloughing in one patient. There are three recurrences, and two flaps were detached; all remaining cases showed satisfactory healing, and donor site morbidity was minimal. No speech deficits were evident. Conclusion Tongue flaps are used in cleft palate surgery because of their excellent vascularity, and the large amount of tissue that they provide has made tongue flaps particularly appropriate for the repair of large fistulas in palates scarred by previous surgery.

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.

Peningkatan Kualitas Sumber Daya Manusia Digital Pondok Pesantren (Studi Kasus di Pondok Pesantren Bidayatul Hidayah Mojogeneng Jatirejo Mojokerto)

2018 ◽  
Vol 1 (2) ◽  
pp. 35
Author(s):  
Isno Isno
Keyword(s):  
Human Resources ◽  
Interaction Analysis ◽  
Descriptive Analysis ◽  
Cultural Development ◽  
Central Position ◽  
Telecommunication Technology ◽  
Digital Human ◽  
To Receive

Human resources have a central position in realizing development performance. "The era of globalization today and in the future coupled with information technology has influenced the socio-cultural development of Indonesian Muslim society generally, or Islamic education, including pesantren in particular". That the Muslim community can not escape from the process of globalization, especially if you want to survive and triumph in the midst of an increasingly competitive world in the present and future. Based on the background, this study aims to examine the Improvement of the Quality of Digital Human Resources in Pondok Pesantren Bidayatul Hidayah Mojogeneng Jatirejo Mojokerto. This research is descriptive qualitative research. The researcher acts as a data collector and as an active instrument in the effort to collect data in the field. To obtain data related to the theme of research, used some data collection techniques as follows: Observation or observation Interview, and Documentation. Data analysis of the results of this study, conducted based on descriptive analysis, as developed by Mile and Huberman. The analysis consists of three interaction analysis paths that are data reduction, data presentation and conclusion drawing. From the results of the discussion can be concluded that Pondok Pesantren Bidayatul Hidayah Mojogeneng Jatirejo Mojokerto in order to Improve the Quality of Digital Human Resources do things as follows: 1) Development and Mastery Book Yellow / Salaf. 2) Program of development of basic sciences. Many benefits are felt with this program, including: a. The level of readiness of students to receive lessons is better. b. Ability of students to absorb material faster. c. Student creativity and motivation increase. 3) Development of Foreign Language Ability. 4) Development of Pesantren Through the Utilization of Information and Telecommunication Technology (ICT). 5) Improvement of the role of Organization of Santri / Santriwati. 6) Increasing Pesantren's Contribution to Community Development

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