Strujak Guilherme, Nascimento Tuanny Carvalho de Lima do, Biron Cassia, Romanowski Maurício, Lima Antonio Adilson Soares de, Carlini João Luiz
*Department of Stomatology, Universidade Federal do Paraná†Staff Oral Maxillofacial Surgery, Centro de Atendimento Integral ao Fissurado Lábio Palatal‡Pontifícia Universidade Católica do Paraná§Departament of Oral and Maxillofacial Surgery, Erasto Gaertner Hospital, Curitiba, Brazil.
J Craniofac Surg. 2016 Nov;27(8):2146-2148. doi: 10.1097/SCS.0000000000003042.
Palatal fistulae are common sequels that appear in patients after surgical procedures in the palate. Considering the difficulty to achieve an effective treatment, there are many techniques to surgically manage fistulae, that is, the pedicle tongue flap.
Being so, the main goal of this paper is to report cases of patients with palatal fistulae, from different etiologies, treated with anterior pedicle tongue flap.
Eleven patients, 8 male and 3 female, mean age of 32 years old with palatal fistulae surgically treated with anterior dorsal tongue flaps. No flap was completely lost. There was 1 partial loss and 1 residual buconasal communication. The most common complaints of the patients were difficulty to perform oral hygiene and mild pain.
The use of anterior pedicle tongue flap for closing palatal fistulae demonstrates to be a safe procedure with high success rates (81% in this paper) when correctly indicated.
腭瘘是腭裂手术后患者常见的后遗症。鉴于实现有效治疗存在困难，有多种手术技术可用于处理瘘管，即带蒂舌瓣。
因此，本文的主要目的是报告不同病因导致的腭瘘患者采用前蒂舌瓣治疗的病例。
11例患者，8例男性，3例女性，平均年龄32岁，均采用前背舌瓣手术治疗腭瘘。没有舌瓣完全坏死。有1例部分坏死和1例仍存在口鼻相通。患者最常见的主诉是口腔卫生难以保持和轻度疼痛。
正确应用前蒂舌瓣修复腭瘘是一种安全的手术，成功率较高（本文为81%）。
