Document Details
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Document Type |
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Article In Journal |
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Document Title |
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The Use of Dorsal Tongue Flap in ,Recurrent Palatal Fistula The Use of Dorsal Tongue Flap in ,Recurrent Palatal Fistula |
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Document Language |
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English |
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Abstract |
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Recurrent oronasal fistula following surgical
repair is a rather comJTIon problem. In this
study, thirteen cases complaining of such
condition were treated with the use of dorsal
tongue flap. Eleven cases achieved complete
closure, one j:ase had partial detacimier)t 'of
the flap resulting in a smaller fistula, aQ(o"h~
remaining case showed air leakage'-,u/1On,
positive pressure. We conclude that ddr-$al .
tongue flap is a reliable and effective source
of vascularized soft tissue for closure of
recurrent oronasal fi~tula.
PRIMARY treatment of cleft palate should
result in an intact palate with separation of
the oral and nasal cavities. However, even
in the best hands, an oronasal fistula may.
occur in a significant number of patients. Oronasal.
fistula may occur as frequently as
11.3 to 22% of cases following cleft palate
repair [(Abyholm et al.,1979), (Schultz.1986)
anci (Amaratunga,1988)). Moreover, recurrence
rate following palatal fistula repair
ranges from 16-65%. A fistula may also be
caused by trauma, tumor, irradiation, or rare
infections [(Rintala,1980), (Cohen et
aI.,1991) anr (Ohsumi et al.,1993)].
Palatal fistula produces a variety of distressing
symptoms, including regurgitation of
fluid into the nasal cavity and interference
with normal speech.
Breakdown of palatal repair is usually
related to tension at the site of closure because
of inadequate local tissues, flap necrosis
due to compromised blood supply, infection
or mechanical trauma before flap
healing (Posnick and Getz,1987). |
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ISSN |
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0 |
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Journal Name |
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The Egyption Journal of Otolaryngology |
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Volume |
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21 |
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Issue Number |
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1 |
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Publishing Year |
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2004 AH
2004 AD |
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Article Type |
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Article |
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Added Date |
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Sunday, February 21, 2010 |
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Researchers
| لإهمي حسين | Hassanein, Fahmy | Researcher | Doctorate | |
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