Tongue flap: a “workhorse flap” in repair of recurrent palatal fistulae

Gupta, Nimish; Shetty, Sujeeth Kumar; Degala, Saikrishna

doi:10.1007/s10006-019-00823-9

Cited by 12 publications

(16 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If, for any reason, this procedure fails, an oronasal fistula may persist due to a soft and hard tissue defect. The fistula will result in oronasal communication, which in turn can lead to abnormal speech, malocclusion, regurgitation of fluids from the oral to nasal cavities, deafness, severe facial deformity, and psychological impediments [ 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of Oronasal Fistula with Tongue Flap: A Cleft Palate Report

et al. 2022

View full text Add to dashboard Cite

Oronasal fistula can persist after conventional secondary alveolar bone graft surgery, which may lead to functional issues, such as regurgitation of fluids from the oral to the nasal cavity. This manuscript describes a clinical case of a patient with a bilateral cleft lip and palate that underwent tongue graft surgery for closure of an oronasal fistula after three failed local mucosa flap surgeries. The multidisciplinary treatment was comprised of orthodontic treatment, mucosa and alveolar grafts for palate closure and aesthetic rehabilitation of the anterior maxillary teeth. Smile aesthetics were noticeably improved, enhancing the patient’s self-perception and confidence.

show abstract

Section: Introductionmentioning

confidence: 99%

Reconstruction of Oronasal Fistula with Tongue Flap: A Cleft Palate Report

et al. 2022

View full text Add to dashboard Cite

show abstract

“…We found the random pattern nutrition as no disadvantage in secure flap perfusion and performed a vessel independent harvest even in patients with heavily pretreated and perfusion-compromised tissue. Especially in hostile necks where the lack of facial arteries or the damage of both lingual arteries may lead to necrosis of tongue flaps or reduced security in nasolabial flaps, the buccal flap is a reliable alternative [ 18 , 19 ]. It usually offers a larger and more versatile amount of movable tissue in cases of extensively impaired intraoral wound beds, commonly seen after secondary or tertiary closure in palatal clefts, oroantral fistulae, osteo(-radio) necrosis, and as a lack of attached gingiva or vestibulum depth after ablative tumour surgery compared to classical local flaps such as Rehrmann’s trapezoid flap or Axhausen’s cheek flap.…”

Section: Discussionmentioning

confidence: 99%

Pedicled buccal flaps as a backup procedure for intraoral reconstruction

Frohwitter

Kesting

Rau

et al. 2022

Oral Maxillofac Surg

View full text Add to dashboard Cite

Background Intraoral soft tissue deficiency and impaired wound beds are common problems after cleft and tumour surgery or after dental trauma. Frequently, limited defects are overtreated with extensive microvascular reconstruction procedures, but pedicled flaps remain useful, as they are simple to harvest, and they provide a reliable outcome. The buccal flap, first described in the 1970s, has been used for palatine lengthening in cleft patients over decades. In the following, we present an expanded indication in cases of palatal fistula, complex vestibulum, exposed bone in orthognathic surgery, and osteoradionecrosis. Methods We conducted a retrospective chart review and report on all buccal flaps harvested in our department within the last 3 years with a follow-up period of at least half a year after flap surgery. Patients of all age groups and treatment indications in which a buccal flap was used were implicated in the evaluation. Results Sixteen buccal flaps were performed in 10 patients. The median age at the time of surgery was 42 years, reaching from 12 up to 66 years. Fourteen buccal flaps were used for upper jaw or palatal coverage; two buccal flaps were used in the mandible. In terms of complications (four flaps; 25%), there were two partial flap failures, one wound dehiscence and one wound dehiscence. There were no failures of the remaining mucosal flap islands after pedicle dissection. Conclusion The buccal flap is a reliable and straightforward approach to challenging intraoral wound beds with soft tissue deficiency. We thoroughly discuss the additional indications for buccal flap surgery, describe the harvest technique, and provide strategies to prevent intra- and postoperative complications.

show abstract

“…The random pattern nutrition allows a secure and vessel independent harvest even in patients with heavily pre-treated and perfusion compromised tissue. Especially in hostile necks where the lack of facial arteries or the damage of both lingual arteries may lead to a necrosis of tongue aps or a reduced security in nasolabial aps the buccal ap is a reliable alternative (17,18). Besides it usually offers a larger and more versatile amount of movable tissue compared to classical local aps such as Rehrmann's trapezoid ap or Axhausen's cheek ap.…”

Section: Discussionmentioning

confidence: 99%

Pedicled Buccal Flaps as a Back-Up Procedure for Intraoral Reconstruction

Frohwitter¹,

Kesting²,

Rau³

et al. 2021

Preprint

View full text Add to dashboard Cite

BackgroundIntraoral soft tissue deficiency and impaired wound beds are common problems after cleft and tumour surgery or after dental trauma. Frequently, limited defects are overtreated with extensive microvascular reconstruction procedures and pedicled flaps remain useful, as they are simple to harvest and provide a reliable outcome. The buccal flap, first described in the 1970s, has been used for palatine lengthening in cleft patients over decades. In the following we present an expanded indication in cases of palatal fistula, complex vestibulum, exposed bone in orthognathic surgery and osteoradionecrosis. MethodsWe conducted a retrospective chart review and report on all buccal flaps harvested within the last three years. 16 buccal flaps were performed in 10 patients. The median age at the time of surgery was 42 years, reaching from 12 years up to 66 years. Results 14 buccal flaps were used for upper jaw or palatal coverage, two buccal flaps were used in the mandible.In terms of complications (four flaps; 25 %) there were two partial flap failures, one wound dehiscence and one wound dehiscence. There were no failures of the remaining mucosal flap islands after the cut of the pedicles.ConclusionThe buccal flap is a reliable and straight forward approach to challenging intraoral wound beds with soft tissue deficiency. We thoroughly discuss the additional indications for buccal flap surgery, describe the harvest technique and provide strategies to prevent intra- and postoperative complications.

show abstract

Tongue flap: a “workhorse flap” in repair of recurrent palatal fistulae

Cited by 12 publications

References 25 publications

Reconstruction of Oronasal Fistula with Tongue Flap: A Cleft Palate Report

Reconstruction of Oronasal Fistula with Tongue Flap: A Cleft Palate Report

Pedicled buccal flaps as a backup procedure for intraoral reconstruction

Pedicled Buccal Flaps as a Back-Up Procedure for Intraoral Reconstruction

Contact Info

Product

Resources

About