Guzel M Z, Altintas F
Department of Plastic and Reconstructive Surgery, Cerrahpasa Medical School, Istanbul University, Turkey.
Ann Plast Surg. 2000 Aug;45(2):109-14; discussion 114-7. doi: 10.1097/00000637-200045020-00001.
Anteriorly based, thin tongue flaps were used in 10 patients to close large, anterior palatal fistulas. All 10 flaps (100%) survived, and complete closure was obtained in all patients, with the exception of a recurrent fistula that occurred in 1 patient during maxillary expansion (10%). Another patient (10%) demonstrated postoperative bleeding that required formal hemostasis under general anesthesia. No other complications were encountered. The results of this series indicate that the tongue flap is a safe technique for closure of large, anterior palatal fistulas. This thin, long flap is also reliable for orthodontic maxillary expansion.
10例患者采用蒂在前的薄舌瓣关闭腭前部大型瘘口。所有10个舌瓣（100%）均存活，除1例患者在扩弓期间出现复发性瘘口（10%）外，所有患者均实现完全闭合。另1例患者（10%）术后出血，需在全身麻醉下进行正规止血。未出现其他并发症。本系列结果表明，舌瓣是关闭腭前部大型瘘口的一种安全技术。这种薄而长的舌瓣对于正畸扩弓也可靠。
