Closure of difficult palatal fistulas using a “parachuting and anchoring” technique with the tongue flap

Elyassi, Ali R.; Helling, Eric R.; Closmann, James J

doi:10.1016/j.tripleo.2010.12.022

Cited by 18 publications

(11 citation statements)

References 11 publications

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“…This concept of increasing the raw areas has been emphasized by other surgeons as well. Habib and Brennan 4 and Elyassi et al 15 de-epithelialized the dorsal surface of the tongue flap and the edges of the fistula to enhance healing and for better outcomes.…”

Section: Discussionmentioning

confidence: 99%

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

Alsalman

Algadiem

Alwabari

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Background:Tongue flap is a good option to close a complicated palatal fistula in cleft patients. Most surgeons advocate a double-layer closure to decrease the recurrence rates. In this study, we have reported our experience with a modified single-layer closure with tongue flap in cleft patients.Method:All cases done by a single surgeon using this modified technique in a period of 10 years were retrospectively reviewed. A thorough description of this technique is also provided in the study.Results:Only 5 cases were operated on using this technique. The success rate of all these cases was 100%, with no recurrence of fistula and few complications.Conclusions:This technique provides a way to avoid nasal layer closure in cases where nasal layer is difficult or impossible to close. It also limits the need for a second flap for nasal layer closure.

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Section: Discussionmentioning

confidence: 99%

“…4,15 Others choose more radical options like intermaxillary fixation or button suture to the lip, which makes the procedure more uncomfortable to the patients and limits the possibility of feeding, thus requiring nasogastric tube feeding. 4,6,16 In our patients, no additional fixation was required, and no flap dehiscence occurred.…”

Section: Discussionmentioning

confidence: 99%

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

Alsalman

Algadiem

Alwabari

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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“…[3] Its good vascularisation from the lingual artery and its branches [1] permits different flap designs: Anterior based flap, posterior based flap, lateral flap, median flap and central island flap.…”

Section: Case Reportmentioning

confidence: 99%

Repair of large palatal fistula using tongue flap

Fejjal¹,

Hicham²,

Achraf³

et al. 2014

Afr J Paediatr Surg

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“…(40,41) A pesar de las grandes ventajas que se muestran del colgajo de lengua también se han descrito varias desventajas como el hecho de que su realización sea bajo anestesia general, la posibilidad de desgarro del colgajo con pérdida de vascularización, necrosis del colgajo, uso de fijación intermaxilar o eventual episodio de hemorragia. Además siempre ha quedado la inquietud con respecto a las posibles alteraciones que este colgajo puede producir sobre el lenguaje, la función masticatoria y la competencia velo faríngea, sin embargo hasta el momento no se ha reportado ninguna de forma permanente (5,8,42,43).…”

Section: Colgajos Pediculados El Colgajo De Lenguaunclassified

Colgajos locales y pediculados en el manejo de las comunicaciones y fístulas oroantrales

Aparicio

2011

Rev. Med.

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ResumenEl manejo convencional de las comunicaciones oroantrales ha sido a través de técnicas quirúrgicas locales que a través del tiempo aun siguen vigentes para el manejo primario de dicha complicación. La mejoría del conocimiento de la anatomía detallada de la región maxilofacial ha introducido nuevas técnicas con el objetivo de mejorar e incluso tener nuevos alcances con respecto al manejo de las comunicación y fistula oro antrales que con las técnicas clásicas no se lograban. Esta revisión de tema muestra cada una de las opciones disponibles para el manejo de las comunicaciones y fistulas oro antrales con sus indicaciones, técnica quirúrgica y complicaciones.Palabras clave: Comunicación oroantral, fistula oroantral, colgajo local. LOCAL AND PEDICULATED FLAPS IN THE MANAGEMENT OF OROAN-TRAL COMMUNICATIONS AND FISTULAS SummaryThe conventional management of oroantral communications has been performed through local surgical techniques which over time are still in vigor for the primary management of that complication. The improvement in the understanding of the maxillofacial region detailed anatomy has leaded to the introduction of new techniques with the aim of improving and even obtaining new achievements regarding the management of oroantral communication and fistulas which were not accomplished with the classical techniques. This subject review shows each one of the available options for the management of oroantral communications and fistulas with their indications, surgical techniques and complications.

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Closure of difficult palatal fistulas using a “parachuting and anchoring” technique with the tongue flap

Cited by 18 publications

References 11 publications

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

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

Repair of large palatal fistula using tongue flap

Colgajos locales y pediculados en el manejo de las comunicaciones y fístulas oroantrales

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