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

Alsalman, Abdulla K.; Algadiem, Emran A.; Alwabari, Mufeed Saeed; Almugarrab, Fatimah Jawad

doi:10.1097/gox.0000000000000841

Cited by 13 publications

(6 citation statements)

References 15 publications

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“…17 This technique has success rate reaching up to 100% with few complications. 18,19 In our case, doing a tongue flap was extremely useful in managing the anterior palatal fistula extending to the alveolus. Abundant flap tissue available in tongue and its mobility helped in its proper adaptation at the anterior most position of the fistula.…”

Section: Case Reportmentioning

confidence: 69%

Secondary cleft deformities: case report and review of literature

et al. 2019

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The aim of this paper is to highlight the iatrogenic aspect of secondary cleft deformity, methodologies to treat them and the importance of reporting such cases. Secondary deformities are common in cleft lip and palate patients. Primary aim of treatment in cleft patients is to enhance their normal growth and development and minimize morbidity and number of operative procedures. Meticulous diagnosis, treatment planning and execution of primary surgery are of utmost importance in such cases to prevent majority of secondary deformities. Treatment of secondary deformity depends on the degree of deformity and the severity of impact on normal functions and growth. Following is a case of 16-year-old female patient who incurred secondary cleft deformities after undergoing multiple surgical interventions for congenital bilateral cleft lip alveolus and palate, last of which was conducted at the age of 6 years. Lip revision and tongue flap surgeries to close the palatal fistula were performed to address the patient's complaint and improve quality of life. Performing a tongue flap for anterior palatal fistula was more successful than Bardach's palatoplasty technique. It is important that each case encountered at various congenital defect care facilities is reported in literature to make the masses aware of probably outcomes and also help maintain a database to have more accurate data of such cases.

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Section: Case Reportmentioning

confidence: 69%

Secondary cleft deformities: case report and review of literature

et al. 2019

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“…7,9 Nawfal y colegas 7 en su investigación en el año 2014 refirieron en sus terapias un correcto cierre de fístula palatina empleando la técnica de colgajo lingual. 7 Alsalman y su grupo, 8,10 en 2016 demostraron éxito en el procedimiento quirúrgico a base de colgajo lingual debido a que la aceptación de la terapia fue del 100% en los casos que fueron sometidos a esta intervención quirúrgica; resultados semejantes mostró esta investigación donde se obtuvo éxito del 100% en los casos sometidos a la técnica de rotación de colgajo lingual.…”

Section: Discussionunclassified

Rotación de colgajo lingual para cierre de fístula palatina en pacientes con labio y paladar fisurados realizado en el Hospital Municipal de la Mujer y el Niño, Cuenca, Ecuador

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Argudo²,

Heredia-Veloz³

2022

Rev Odont Mex

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Las fístulas palatinas son las secuelas más comunes luego de realizar una palatoplastia primaria, permitiendo el paso de líquidos y alimentos desde la cavidad oral hacia la cavidad nasal. Comúnmente el cierre de una fístula en ocasiones requiere el uso de colgajos locales (palatinos), pero de acuerdo con la ubicación y el tamaño de la fístula, se requiere el uso de otras técnicas como la rotación de colgajo lingual. Este estudio tiene como propósito presentar casos clínicos en los que se ha utilizado la técnica de rotación de colgajo lingual como una alternativa en el cierre de fístulas palatinas, debi- do a que este procedimiento brinda excelentes resultados estéticos y funcionales.

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“…Solan [ 4 ] suggested to avoid nasal intubation, as this may damage or disrupt the recently constructed flap. But many tongue flap surgery were performed under nasotracheal intubation [ 5 ]. Therefore, the ideal approach to secure the airway for the division of the flap would change at the viewpoint of the surgeon and the viewpoint of the anesthesiologist.…”

Section: Discussionmentioning

confidence: 99%

Remifentanil for sedation and analgesia during awake division of tongue flap in children: a report of two cases

et al. 2017

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BackgroundThe tongue flap is an accepted treatment method for cleft palate repair. Orotracheal or nasotracheal intubation using a fiberoptic scope is preferred for the division of the tongue flap. We report two cases of tongue flap division in which the patients received adequate sedation and analgesia without tracheal intubation.Case presentationTwelve- and 13-year-old male patients were treated at our hospital for tongue flap division, performed as part of a cleft palate repair. We planned to divide the tongue flap under sedation with remifentanil (1 μg/kg/min continuous infusion) and local anesthesia, followed by induction of general anesthesia, and orotracheal intubation after the tongue flap was divided. During the procedure, patients were breathing spontaneously and were cooperative. Patients were able to follow the surgeons’ verbal cues to thrust out the tongue during the procedure, so that the surgeons could easily insert the sutures.ConclusionsDuring the division of the tongue flap in two children, excellent sedative and analgesic effects were achieved using continuous remifentanil infusion.

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

Cited by 13 publications

References 15 publications

Secondary cleft deformities: case report and review of literature

Secondary cleft deformities: case report and review of literature

Rotación de colgajo lingual para cierre de fístula palatina en pacientes con labio y paladar fisurados realizado en el Hospital Municipal de la Mujer y el Niño, Cuenca, Ecuador

Remifentanil for sedation and analgesia during awake division of tongue flap in children: a report of two cases

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