Yang Zhao-Hui, Zhong Jiang-Long, Chen Wei-Liang
Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial of Sun Yat-sen University, Guangzhou, China.
J Craniofac Surg. 2020 Jan/Feb;31(1):62-63. doi: 10.1097/SCS.0000000000005844.
An anterior palatal fistula in a bilateral cleft lip and palate is a challenging clinical dilemma. The authors evaluate the feasibility and outcomes of the reconstruction of large anterior palatal fistulae using anteriorly based dorsal tongue flaps.
Eight patients with anterior palatal fistulae after repair of a bilateral cleft lip and palate using anteriorly based dorsal tongue flaps. The defect size varied from 1.0 × 1.0 cm to 1.5 × 2.0 cm, and the tongue flap size varied from 1.5 × 3.5 cm to 2.0 × 3.5 cm.
All patients underwent successful reconstruction of palatal defects using anteriorly based tongue flaps, and no case of spontaneous detachment of the tongue flap occurred. The patients with palatal fistulae were followed up for 10 to 30 months, and no recurrence was encountered.
An anteriorly based dorsal tongue flap is a safe and feasible surgical technique for the closure of anterior palatal fistulae.
双侧唇腭裂患者的腭前部瘘是一个具有挑战性的临床难题。作者评估了使用舌背瓣修复大型腭前部瘘的可行性及效果。
8例双侧唇腭裂修复术后出现腭前部瘘的患者采用舌背瓣进行修复。缺损大小从1.0×1.0厘米至1.5×2.0厘米不等，舌瓣大小从1.5×3.5厘米至2.0×3.5厘米不等。
所有患者均使用舌背瓣成功修复腭部缺损，无舌瓣自行脱落的情况发生。对腭瘘患者进行了10至30个月的随访，未发现复发。
舌背瓣是一种安全可行的手术技术，可用于闭合腭前部瘘。
