Large tongue flaps to close massive palatal defects

Hopkins, James; Jackson, Ian T.; Smith, W.; LeVasseur, F.

doi:10.1007/s002380050219

Cited by 7 publications

(3 citation statements)

References 19 publications

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“…13 It is essential, during the reconstruction, that the cause of the problem is appreciated. It results from ischemia, and therefore local tissue must be managed carefully; this is why the inturned flaps are delayed.…”

Section: Discussionmentioning

confidence: 99%

Palatal Fistulae Resulting From Cocaine Abuse

Jackson¹,

Kelly²,

Bello-Rojas³

2009

Annals of Plastic Surgery

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Section: Discussionmentioning

confidence: 99%

Palatal Fistulae Resulting From Cocaine Abuse

Jackson¹,

Kelly²,

Bello-Rojas³

2009

Annals of Plastic Surgery

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“… 16 Consequently, surgical treatment continues to be the most advocated and effective method for fistula closure. 17 …”

Section: Discussionmentioning

confidence: 99%

Cleft Palate Fistula Closure Utilizing Acellular Dermal Matrix

Emodi

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Summary:Fistulas represent failure of cleft palate repair. Secondary and tertiary fistula repair is challenging, with high recurrence rates. In the present retrospective study, we review the efficacy of using acellular dermal matrix as an interposition layer for cleft palate fistula closure in 20 consecutive patients between 2013 and 2016. Complete fistula closure was obtained in 16 patients; 1 patient had asymptomatic recurrent fistula; 2 patients had partial closure with reduction of fistula size and minimal nasal regurgitation; 1 patient developed a recurrent fistula without changes in symptoms (success rate of 85%). We conclude that utilizing acellular dermal matrix for cleft palate fistula repair is safe and simple with a high success rate.

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“…Closure of such fistulae is indicated, therefore, and various techniques have been reported using local, regional, or distant tissue (Ward, 1854). The use of a tongue flap for treatment of palatal fistula has been a well-established procedure since it was described by Guerro-Santos and Altamirano (Vaughen and Brown, 1983; Hopkins et al, 1999). The main disadvantage of a tongue flap is that it is a two-stage procedure with anticipated intubation and extubation difficulties.…”

Section: Discussionmentioning

confidence: 99%

Nasal Papilloma, a Rare Late Complication of Tongue Flap Repair of Palatal Fistula

Ragavan

Uppalu

Rajeshkumar

et al. 2013

The Cleft Palate Craniofacial Journal

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The use of a tongue flap for treatment of palatal fistulae is a well-established procedure, but it is not without complication. We report on a patient who underwent palatal fistula closure with tongue flap as a child, who then developed a nasal papilloma from the mucosa of the tongue flap 40 years later. This case is the first of its kind to be reported and emphasizes the need for long-term follow-up because the tongue mucosa is vulnerable to many diseases.

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Large tongue flaps to close massive palatal defects

Cited by 7 publications

References 19 publications

Palatal Fistulae Resulting From Cocaine Abuse

Palatal Fistulae Resulting From Cocaine Abuse

Cleft Palate Fistula Closure Utilizing Acellular Dermal Matrix

Nasal Papilloma, a Rare Late Complication of Tongue Flap Repair of Palatal Fistula

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