Tongue Flaps and the Closing of Large Fistulas of the Hard Palate

Carreirao, Sergio; Lessa, Sergio

doi:10.1097/00000637-198004030-00002

Cited by 5 publications

(10 citation statements)

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“…Use of nasogastric tube for feeding at the first week postoperatively precludes the tongue movement during swallowing; all of these precautions increase the chance of flap stability reflected on the good results of this study, which correlated with the results of Carreirão and Lessa [8], Guerreno-Santos and Altamirano [5], and Anuja et al [6] in their studies on using tongue flaps in intraoral reconstruction. Use of nasogastric tube for feeding at the first week postoperatively precludes the tongue movement during swallowing; all of these precautions increase the chance of flap stability reflected on the good results of this study, which correlated with the results of Carreirão and Lessa [8], Guerreno-Santos and Altamirano [5], and Anuja et al [6] in their studies on using tongue flaps in intraoral reconstruction.…”

Section: Discussionsupporting

confidence: 79%

“…Early rehabilitation was instituted since long time using the artificial prosthesis without complete satisfaction [19]. However, the wide application of free flaps is still restricted in developing countries due to lack of facilities and experienced surgeons [4][5][6][7][8][9]17,[20][21][22][23][24][25]. There has been surgical progress development of different kinds of flaps.…”

Section: Discussionmentioning

confidence: 99%

“…The problem of tongue flaps is the flap dehiscence due to early tongue movement. Carreirão and Lessa [8] modified the surgery of the tongue flap by performing long flap pedicle to allow range of tongue movement without direct tension on the flap during the early stage of healing [7]. Guerreno-Santos and Altamirano used the wire fixation to the tongue tip to upper lip during the time of flap healing [6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Versatility and limitation of tongue flap in oral cavity reconstruction

Sayed¹

2015

Egyptian Journal of Oral & Maxillofacial Surgery

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Versatility and limitation of tongue flap in oral cavity reconstruction

Sayed¹

2015

Egyptian Journal of Oral & Maxillofacial Surgery

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“…[2] But it was Klopp and Schurter popularized posterolateral tongue flap for soft palate and tonsillar lesions. [3] Guerrero -Santos [4,5] Bakamjian [6,7] and McGregor [8] described the tongue transfer flap for palatal and lip defects. Hiranandani [9] described tongue flap for pharyngeal defects.…”

Section: Discussionmentioning

confidence: 99%

“…Some surgeons fear that removal of the tongue tissue may interfere with articulation; this fear is unwarranted based on our observation and many other. [5,11,12,[15][16][17][18] Speech depends on the mobility of the tongue. Unlike lateral tongue flap, floor of the mouth is not included in dorsal tongue flap, hence tethering or fixation of the tongue does not occur, therefore speech is not affected.…”

Section: Discussionmentioning

confidence: 99%

Tongue flap revisited

Deshmukh¹,

Subbiah²,

Thakkar³

et al. 2013

J Can Res Ther

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Challenges in maxillofacial reconstruction on secondary cleft deformities

Chow

Tang

et al. 2003

Annals of the College of Surgeons of Hong Kong

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Cleft surgery demands much on the meticulous surgical skills and aesthetic sense in relation to craniofacial growth and functions. With the understanding of genetic interplay and peer review on the surgical outcome, cleft surgeons have made great strides in treatment concept during the past decades. It is inevitable that secondary cleft deformities may rely on the cumulative effects of functional and morphological abnormalities from the stage of primary repair. Problems could range from uncorrected defects, complicated healing from initial repair, to some exaggerated developmental facial disharmonies as the patients attain adolescent or adult age. For this reason, the Cleft Palate Team is posed an immense challenge in treating the residual cleft deformities. Some of the challenges include large oronasal fistula, severe maxillary or midfacial retrusion, and pursuit of aesthetics on lip nose complex correction. These problems demand sophisticated surgical skills and sound understanding of craniofacial bio-physiology. The sequential treatment strategy of secondary cleft reconstruction as practiced in the United Christian Hospital is considered as the foundation in the management of those challenging maxillofacial complexities. The purpose of the present paper is to share our sequential protocol practiced in the United Christian Hospital as a foundation to accomplish those maxillofacial complexities. Treated clinical cases demonstrate the innovative application of distraction osteogenesis on severe cleft skeletal correction, the use of tongue flap for repair of large oronasal defect, and corrective radical rhinoplasty with fascial graft augmentation. The last section of the present report is concentrated on the practical application of Nasal Symmetry Index for assessing result of cleft rhinoplasty.

show abstract

Tongue Flaps and the Closing of Large Fistulas of the Hard Palate

Cited by 5 publications

References 0 publications

Versatility and limitation of tongue flap in oral cavity reconstruction

Versatility and limitation of tongue flap in oral cavity reconstruction

Tongue flap revisited

Challenges in maxillofacial reconstruction on secondary cleft deformities

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