Use of a buccal musculomucosal flap to close palatal fistulae after cleft palate repair

V–Y two-layer repair for oronasal fistula of hard palate

“…Nakakita et al [19] closed palatal fistula by the use of a buccal musculomucosal flap. Complete closure at the first attempt was obtained in 69% of the cases and they needed to divide the pedicle two weeks after the initial operation.…”

Closure of anterior post-palatoplasty fistula using superior lip myomucosal flap

“…Several techniques have been described to circumvent these problems; Honnebier et al [9] divided the methods currently employed for fistula repair into two groups: those that use mucoperiosteal flaps in one form or another, e.g., hinge flaps, and those that make use of additional tissue to close the defect. Sources of additional tissue are usually in the form of pedicled flaps from elsewhere in the mouth, e.g., buccal mucosa [13] or tongue flaps [6,14].…”

“…Nakakita et al [13] closed palatal fistula by the use of a buccal musculomucosal flap. Complete closure at the first attempt was obtained in 69% of the cases though, when the fistulas were large and extended to the anterior hard palate; the results were not as good (36%).…”

The use of buccal flap in the closure of posterior post-palatoplasty fistula

“…They achieved 100% success with no failure or recurrence. Nakakita et al [18] closed palatal fistula by the use of a buccal musculomucosal flap. Complete closure at the first attempt was obtained in 69% of the cases and they needed to divide the pedicle two weeks after the initial operation.…”