The The outcome after huge oronasal fistula closure by tongue flap in Yala hospital
Keywords:
Cleft palate, Oronasal fistula, Tongue flapAbstract
Background: Cleft palate is significant public health problem in Thailand. However, after surgical correction the rate of ONF was 3% to 38%. Tongue flap is a choice for coverage oronasal fistula. Previous study shown huge oronasal fistula closure as a case report.
Objective: Our study aims to examine the viability of the tongue flap, fistula closure, residual tongue function and speech impairment in individuals with cleft palate who presented with an oronasal fistula bigger than 2 cm2.
Methods: This study was a retrospective study at Yala Hospital from July 16, 2018, to August 31, 2022.
Results: This study examined ten cleft palate patients with oronasal fistula (50% males and 50% females). The majority of cases were unilateral complete cleft palates, with the ONF typically located in the middle of the palate and measuring approximately 11.38 cm2. The entire tongue flap was viable, and there was no donor site morbidity. Wound dehiscence occurred in one case. The patient's hypernasality (p-value = 0.006) and regurgitation (p-value = 0.025) improved after surgery.
Conclusion: The tongue flap was effective for repairing a huge oronasal fistula and enhancing palatal function, particularly regurgitation and hypernasality.
References
Coleman JR, Sykes JM. The embryology, classification, epidemiology, and genetics of facial clefting. Facial Plast Surg Clin North Am. 2001;9(1):1-13. http://www.ncbi.nlm.nih.gov/pubmed/11464997.
Jaruratanasirikul S, Chichareon V, Pattanapreechawong N, Sangsupavanich P. Cleft lip and palate: 10 Years experience at a pediatric cleft center in southern Thailand. Cleft Palate-Craniofacial J. 2008;45(6):597-602. doi:10.1597/07-176.1
Mahajan R, Kaur A, Singh S, Kumar P. A retrospective analysis of incidence and management of palatal fistula. Indian J Plast Surg. 2018;51(3):298-305. doi:10.4103/ijps.IJPS_84_18
Galicia Partida AI, Lugo RR. Reconstruction of anterior palatal fistula with anterior-based lingual flap. Case report. Rev Odontológica Mex. 2016;20(1):e50-e56. doi:10.1016/j.rodmex.2016.02.016
Gupta N, Shetty S, Degala S. Tongue flap: a “workhorse flap” in repair of recurrent palatal fistulae. Oral Maxillofac Surg. 2020;24(1):93-101. doi:10.1007/s10006-019-00823-9
Durmus Kocaaslan FN, Tuncer FB, Sender S, Celebiler O. The tongue flap for large palatal fistulas, a success or a failure? Our 15-year experience. J Plast Surg Hand Surg. 2020;54(3):151-155. doi:10.1080/2000656X.2020.1720702
Sayekti M, Barus L, Sumatra NPM, Nakamura N. Closure of Oronasal Fistulae Post Palatoraphy with Tongue Flap in Bilateral Complete Cleft Lip Palate Patient: A Case Report. Arch Orofac Sci. 2021;16(Supplement 1):59-65. doi:10.21315/aos2021.16.s1.10
Abdollahi S, Moghaddam YJ, Reza R, Ramin R. Results of difficult large palatal fistula repair by tongue flap. Rawal Med J. 2008;33(1):56-58.
Barazarte D, Muñoz R, Golaszewski J, Pulgar B, Moro L, Maldonado A. Use of tongue flap as alternative for the closure of palatinal fistulas in patients with sequela of palatoplasty. Rev Esp Cir Oral y Maxilofac. 2020;42(2):76-82. doi:10.20986/recom.2020.1100/2019
Prakash A, Singh S, Solanki S, et al. Tongue flap as salvage procedure for recurrent and large palatal fistula after cleft palate repair. African J Paediatr Surg. 2018;15(2):88-92. doi:10.4103/apps.AJPS_131_16
Alekrashy M, Elshahat Wael, Kassem H. Anterior-based Tongue Flap for repair of recurrent wide anterior palatal fistula, refreshment of the technique and the outcome. Zagazig Univ Med J. 2020;0(0):0-0. doi:10.21608/zumj.2020.35852.1903
Mahajan RK, Chhajlani R, Ghildiyal HC. Role of tongue flap in palatal fistula repair: A series of 41 cases. Indian J Plast Surg. 2014;47(2):210-215. doi:10.4103/0970-0358.138950
Sodhi SPS, Kapoor P, Kapoor D. Closure of Anterior Palatal Fistula by Tongue Flap: A Prospective Study. J Maxillofac Oral Surg. 2014;13(4):546-549. doi:10.1007/s12663-013-0518-3
Mathew P, Kumar Bhaskaran M, Menon VP, Tiwari RV, Sehrawat K, Student P. Closure of a recurrent giant palatal fistula with tongue flap. J Dent Spec. 2018;6(2):166-168. doi:10.18231/2393-9834.2018.003
Leturc T, Chaux-Bodard AG, Paulus C. Oronasal fistula as a cleft palate sequela: Closure with tongue flap. Case report with review of the literature. Med Buccale Chir Buccale. 2017;23(4):192-195. doi:10.1051/mbcb/2017012
Nawfal F, Hicham B, Achraf B, Rachid B. Repair of large palatal fistula using tongue flap. African J Paediatr Surg. 2014;11(1):82-83. doi:10.4103/0189-6725.129247
Fang S-L, Huang Z, Chen W. Reconstruction of large anterior palatal fistulae using anteriorly-based dorsal tongue flaps. Otorhinolaryngol Neck Surg. 2018;3(2):1-3. doi:10.15761/ohns.1000170
Abdeldayem M. Evaluation of the role of tongue flap in recurrent large palatal fistula repair. Egypt J Oral Maxillofac Surg. 2021;12(1):66-69. doi:10.21608/omx.2021.64123.1111
Vinay R, Tiwari C, Kumar GA, Mathew P, Anand R, Mathai P. Tounge Flap for Closure of Giant Anterior Palatal Fistulas. Saudi J Oral Dent Res. 2019;4(6):325-328. doi:10.21276/sjodr.2019.4.6.3
Vasishta SMS, Krishnan G, Rai YS, Desai A. The Versatility of the Tongue Flap in the Closure of Palatal Fistula. Craniomaxillofac Trauma Reconstr. 2012;5(3):145-159. doi:10.1055/s-0032-1313352
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