Repair of a palatal defect associated with late congenital syphilis using a tongue flap

Housego, T.; Wood, Rab; Grotepass, F.W.; Cj, Nortjé

doi:10.1016/0278-2391(88)90304-7

Cited by 11 publications

(5 citation statements)

References 12 publications

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“…However, in cleft palate surgery their excellent vascularity and the large amount of tissue they provide render tongue flaps particularly appropriate for the repair of large fistulas in palates scarred by previous surgery. [15][16][17] Tongue flaps have been used to close intraoral defects following tumor surgery, severe infection, 18 trauma, and cleft palate fistulas. According to DeSanto, tongue flaps are also useful after radiation therapy.…”

Section: Discussionmentioning

confidence: 99%

The Versatility of the Tongue Flap in the Closure of Palatal Fistula

Vasishta

Krishnan

Rai

et al. 2012

Craniomaxillofacial Trauma & Reconstruction

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Aims Tongue flaps were introduced for intraoral reconstruction by Lexer in 1909. A retrospective study was performed in the Department of Oral and Maxillofacial Surgery, S.D.M. College of Dental Sciences (Dharwad, India), to assess the use of tongue flap in closure of palatal fistula. Material and Methods A total of 40 patients treated for palatal fistulas were included in this study from the period of January 1, 2000, to January 1, 2007; fistulas present in anterior and midpalate were considered. Patients' preoperative photographs, clinical records, and preoperative speech analysis were recorded. Following completion of fistula closure, patients were assessed over 6 months to check flap viability, fistula closure, residual tongue function, aesthetics, and speech impediment. Results A total of 40 (24 male and 16 female) patients with palatal fistulas were treated with tongue flap in our study. Six patients were 4 to 6 years old, three were 7 to 10 years old, and 22 were 11 to 20 years old, which accounts for 68% of study subjects. There were nine patients 21 to 30 years old. In the early postoperative period, we encountered bleeding in one patient and sloughing in one patient. There are three recurrences, and two flaps were detached; all remaining cases showed satisfactory healing, and donor site morbidity was minimal. No speech deficits were evident. Conclusion Tongue flaps are used in cleft palate surgery because of their excellent vascularity, and the large amount of tissue that they provide has made tongue flaps particularly appropriate for the repair of large fistulas in palates scarred by previous surgery.

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Section: Discussionmentioning

confidence: 99%

The Versatility of the Tongue Flap in the Closure of Palatal Fistula

Vasishta

Krishnan

Rai

et al. 2012

Craniomaxillofacial Trauma & Reconstruction

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“…auch Parrot-Furchen periorbital bis ins Lippenrot hinein. Weitere orofaziale Merkmale sind Zungenatrophie und ein schmales Gaumengewölbe [29].…”

Section: Angeborene Syphilis (Lues Connata)unclassified

Skin and teeth

Heinlin

Heinlin²,

Steinbauer

et al. 2009

Hautarzt

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Skin and teeth not only share several characteristics in their development but also have a similar ontogenetic origin from the ectoderm. Thus, numerous congenital diseases, such as genetic, infectious, inflammatory, and immune disorders affect both skin and teeth. Particularly skin diseases are often identified by the synopsis of systemic symptoms. The understanding and appreciation of dental abnormalities guides dermatologists in the diagnosis and identification of syndromes as well as in finding an optimal therapy.

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“…With fetal development, there is reduction of these cells, facilitating the passage of spirochetes (7,9,15,18).…”

Section: Congenital Syphilismentioning

confidence: 99%

“…Dental abnormalities are probably caused by spirochetal infection of the enamel organ, causing screwdriver-shaped incisor (Hutchinson's incisors) and Mulberry molars (7,9,15,19). Other intra-oral findings may include atrophic glossitis, palatal cleft, and perioral rhagades (fissures) (15,19).…”

Section: Congenital Syphilismentioning

confidence: 99%