Free Forearm Flap for Closure of Difficult Oronasal Fistulas in Cleft Palate Patients

Chen, Hung-Chi; Ganos, Doreen L.; Coessens, Bruno; Kyutoku, Shigeo; Noordhoff, M. Samuel

doi:10.1097/00006534-199211000-00004

Cited by 102 publications

(41 citation statements)

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“…The reconstruction con-, tours were much better when only the fascial side of the flap provided nasal lining. Skin grafting on the nasal side may be unnecessary, although some authors think it is an easy procedure that does not take much time, and it may be helpful in preventing contracture of the flap [4].…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of maxillary and palatal defects with the free radial forearm flap

Rollón¹,

Gómez

Gonzalez

et al. 1995

Eur J Plast Surg

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We present six patients with maxillary and palate defects that were reconstructed with the radial forearm flap. Four patients had malignant neoplasms involving the maxilla, three with squamous cell carcinoma and the fourth with recurrent basal cell carcinoma. They were treated with excision and immediate reconstruction using a radial forearm free flap. The other two patients presented with large fistulae between the maxilla and nasal sinuses, these being sequelae of previous surgical treatment for malignancies. The fistulae were closed with radial forearm free flaps. This method provides primary wound healing, restoration of palatal function, preservation of facial contour, and a minimal morbidity while obviating the need for palatal prosthesis. In the six cases, the oral cavity has been completely separated from the paranasal sinus and nasal cavity, and all patients demonstrated satisfactory deglutition and intelligible speech.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of maxillary and palatal defects with the free radial forearm flap

Rollón¹,

Gómez

Gonzalez

et al. 1995

Eur J Plast Surg

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“…Variety of free flaps has been used to repair large oronasal fistulas. Free radial forearm flap have been used for reconstruction by Colletti et al [5] and chen et al [6] with closure of fistula but leaving behind scar over forearm. There are lot other free flaps have been used for reconstruction which includes Dorsalispedis flap, [7] scapular flap [8] lateral forearm flap, [9] Anterolateral thigh flap.…”

Section: Case Reportmentioning

confidence: 99%

Free Vastus Lateralis Muscle Flap for Closure of Recurrent Oronasal Fistula: A Case Report

N¹

2015

jemds

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Recurrent oronasal fistulas after cleft palate repair present a difficult problem for the cleft surgeon. Repeated surgeries to close the fistula results in increased scar formation with associated soft tissue contracture and a resultant increase in fistula size. Although locally available flaps has been the standard procedure for closure of small fistulae, Large fistulas requires regional flaps like tongue flaps requiring multistage transfer, with resultant intra oral scarring, to avoid the problems associated with loco regional flaps and recent increase in success rates of free tissue transfers make them a viable, one-stage means of closing these defects. In this case report we present our clinical experience with recurrent palatal fistula and highlight the effective use of the free vastuslateralis muscle flap as a means of repair.

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“…(8,9,10,11) Aunque comúnmente el cierre de la fístula se establece por el uso de colgajos locales, a veces el sitio y tamaño de la fístula hacen que el uso de estos para su reparación sea una posibilidad remota. La utilización de colgajos de lengua debido a su posición central en el piso de boca, movilidad y la diversidad de posicionamiento de los colgajos la hacen un método de elección para el cierre de fístulas palatinas anteriores mayores, más que otros tejidos.…”

Section: Introductionunclassified

Tratamiento integral de fisura palatina con injerto de lengua. Reporte de caso

Leiva

Bravo

Nieto

et al. 2017

Rev. Clin. Periodoncia Implantol. Rehabil. Oral

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Free Forearm Flap for Closure of Difficult Oronasal Fistulas in Cleft Palate Patients

Cited by 102 publications

References 0 publications

Reconstruction of maxillary and palatal defects with the free radial forearm flap

Reconstruction of maxillary and palatal defects with the free radial forearm flap

Free Vastus Lateralis Muscle Flap for Closure of Recurrent Oronasal Fistula: A Case Report

Tratamiento integral de fisura palatina con injerto de lengua. Reporte de caso

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