Closure of Palatal Fistulas Using a Dermis-Fat Graft

Vandeput, J; Droogmans, B; Tanner, John

doi:10.1097/00006534-199505000-00025

Cited by 19 publications

(6 citation statements)

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“…Dermis-fat grafts have also been used for augmentation rhinoplasties, closure of palatal fistulae and to restore the concave deformity following parotidectomy as well as to prevent Frey's syndrome 3,17,37 . As far as can be ascertained there have been no reports in the literature describing the use of dermisfat grafts as interpositional material in the surgical management of TMJ ankylosis.…”

mentioning

confidence: 99%

The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis

Dimitroulis

2004

International Journal of Oral and Maxillofacial Surgery

118

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mentioning

confidence: 99%

The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis

Dimitroulis

2004

International Journal of Oral and Maxillofacial Surgery

118

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“…12-15 Various interposition material had been utilized to fill the defect of the fistula such as cancellous bone graft, fat graft, Conchal cartilage, and synthetic material like hydroxyapatite. 16 In this study application of autogenous dermis-fat, graft was found to be effective in reducing the hematoma formation inside the fistula because it serves to obliterate the dead space. Moreover, dermal fat graft gave rigid stability to the layered closure of the repair and this is related to the flexibility of the graft, which made it amenable to fit the fistula of variable size and location.…”

Section: Discussionmentioning

confidence: 89%

“…The thickness of the graft which was used in our study was 4-6 mm, which was less than the graft thickness which proposed by Vandeput (8 mm). 16 We thought that graft with 8 mm thickness is bulky and prevents approximation of the palate flaps, also it need long time for revascularization. The size of the grafts were always larger than size of the defect by at least 2 mm.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Using Dermis-Fat Graft in Oro-Nasal Fistula Repair

Jaleel

Al-Qasem

2022

IqNJM

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Background One of the most devastating complication that follows cleft palate surgery is oro- nasal fistula. It can lead to many problems like fluid and food regurgitation, poor oral hygiene and retropharyngeal incompetence. The repair of palatal fistula had long presented a remarkable challenge to the plastic surgeon. Repair of these fistulae required the use of more than the usual two-layered closure procedures; demanding the introduction of a ‘Third layer’ of tissue to enhance smooth healing, and thereby reduce the chance of closure failure which predispose to fistulization. In this study we used an autogenous graft of ‘’ dermis and fat (dermis-fat) graft ‘’ to serve as the third protective, supportive and enhancive layer. Aim of the study: To evaluate the use of dermis-fat graft as autogenous tissue to achieve three layers closure of the palatal fistula. PATIENT AND METHOD The study included 22 patients ( 13 males, 9 females ), ranging in the ages between 2 to 40 years (13 males versus 9 females). The fistula size varies from 4 mm to 25 mm in diameter. Timing of fistula repair ranged between 6 months up to more than 4 years, Fistula assessment was done focusing on size, site, number and shape. Then assessment of surrounding tissue viability and pliability Results, operated upon, having 30 oro-nasal, We used minimal thickness of the graft ( 4-6 mm ) in 23 fistulae, and 7-8 mm thick graft in 7 ones. 24 cases was having full healing while in 2 fistulae partial wound dehiscence occurred. In another 2 fistulae there was obliteration of the buccal sulcus. While partial graft exposure in 2 other fistulae. We experienced no hematoma, or infection or airway obstruction. conclusion Using of interpositional dermis-fat graft had shown to have promising result in closure of oro-nasal fistula that followed cleft palate surgery. It provided durable, stable, and flexible coverage with minimal donor site morbidity. It can be used for fistula of less than 1.5 cm of various locations.

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“…Surgical techniques using local and regional tissues include undermining and primary closure, mucoperiosteal flaps, vestibular mucosal flaps, buccal myomucosal flaps, tongue flaps, vomer flaps, Le Fort I osteotomies, nasolabial flaps, buccal fat flaps, and temporalis muscle flaps, among others (Guerrero-Santos and Altamirano, 1966; Mukherji, 1969; Jackson, 1972; Abyholm et al, 1979; Pigott et al, 1984; Argamaso, 1990; Cohen et al, 1991; Pribaz et al, 1992; Cordeiro and Wolfe, 1996; Baumann and Ewers, 2000; Ercocen et al, 2003; Robertson et al, 2008). Another option is the use of nonvascularized grafts, such as dermis (Vandeput et al, 1995) or conchal cartilage (Matsuo et al, 1991; Ohsumi et al, 1993), but they require small defects and the presence of healthy local tissue.…”

Section: Discussionmentioning

confidence: 99%

Repair of Recurrent Cleft Palate with Free Vastus Lateralis Muscle Flap

Christiano

Dorafshar²,

Rodriguez³

et al. 2012

The Cleft Palate-Craniofacial Journal

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A 6-year-old girl presented with a large recalcitrant oronasal fistula after bilateral cleft lip and palate repair and numerous secondary attempts at fistula closure. Incomplete palmar arches precluded a free radial forearm flap. A free vastus lateralis muscle flap was successfully transferred. No fistula recurrence was observed at 18 months. There was no perceived thigh weakness. The surgical scar healed inconspicuously. Free flaps should no longer be considered the last resort for treatment of recalcitrant fistulas after cleft palate repair. A free vastus lateralis muscle flap is an excellent alternative, and possibly a superior option, to other previously described free flaps.

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Closure of Palatal Fistulas Using a Dermis-Fat Graft

Cited by 19 publications

References 0 publications

The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis

The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis

Evaluation of Using Dermis-Fat Graft in Oro-Nasal Fistula Repair

Repair of Recurrent Cleft Palate with Free Vastus Lateralis Muscle Flap

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