Zhou Xia, Ma Lian
Cleft Lip and Palate Treatment Center, Oral and Maxillofacial Department, School of Stomatology, Peking University, Beijing, China.
Plast Reconstr Surg Glob Open. 2019 May 28;7(5):e2246. doi: 10.1097/GOX.0000000000002246. eCollection 2019 May.
Even though it is widely accepted that the tongue flap is effective and feasible for repair of huge palatal fistula, there still exist a few failed cases due to the severity or complicated situation. The aim of this paper is to report the validity and feasibility of using double tongue dorsal flaps to repair a huge anterior fistula. A 10-year-old boy diagnosed with Van de Woude syndrome with repaired bilateral cleft lip and palate presented with a huge anterior fistula divided by septum. A double tongue dorsal flap was designed to cover the fistula. The huge unusual anterior palatal fistula was repaired successfully by usage of double pedicle tongue flaps with a follow-up period of 1 month. The double tongue flap is an alternative choice to handle a large residual fistula in anterior part of palate which was divided into 2 fistulas by septum. This technique was indicated in the situation of large residual fistula in anterior part of palate which was divided into 2 fistulas by septum after bilateral cleft palate repair.
尽管舌瓣修复巨大腭裂瘘的有效性和可行性已被广泛认可，但由于病情严重或情况复杂，仍有一些失败病例。本文旨在报告使用双侧舌背瓣修复巨大前部瘘的有效性和可行性。一名10岁男孩被诊断为范德伍德综合征，双侧唇腭裂已修复，现出现一个被隔膜分隔的巨大前部瘘。设计了双侧舌背瓣来覆盖瘘口。使用双侧蒂舌瓣成功修复了巨大的异常前部腭裂瘘，随访1个月。双侧舌瓣是处理腭前部因隔膜分为两个瘘口的大型残留瘘的一种替代选择。该技术适用于双侧腭裂修复后腭前部因隔膜分为两个瘘口的大型残留瘘的情况。
