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位于口鼻腭瘘边缘的埋伏异位上颌中切牙。

Impacted Ectopic Maxillary Incisor at the Margins of an Oronasal Palatal Fistula.

作者信息

Kashyap Varun H, Kumari Veena, Bhalara Niraj

机构信息

Plastic and Reconstructive Surgery, All India Institute of Medical Sciences, Patna, Patna, IND.

Plastic surgery, All India Institute of Medical Sciences, Patna, Patna, IND.

出版信息

Cureus. 2024 Mar 1;16(3):e55303. doi: 10.7759/cureus.55303. eCollection 2024 Mar.

DOI:10.7759/cureus.55303
PMID:38559529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10981788/
Abstract

An oronasal fistula is one of the most common complications that can occur after cleft palate surgeries. Some of the reasons for the failure of repair are the closure of palatal flaps under tension, vascular compromise, and infection. We present a case of a 10-year-old patient who experienced nasal regurgitation during feeding, four years after undergoing a redo palatoplasty. The reason was identified as an impacted maxillary incisor located at the fistula site. The patient was managed with the closure of the oronasal palatal fistula, with a two-layered repair technique using bilateral mucoperiosteal flaps after the removal of the impacted tooth.

摘要

口鼻瘘是腭裂手术后最常见的并发症之一。修复失败的一些原因包括腭瓣在张力下关闭、血运障碍和感染。我们报告一例10岁患者，在接受再次腭裂修复术后四年，进食时出现鼻反流。原因是瘘管部位有一颗上颌切牙阻生。在拔除阻生牙后，采用双侧粘骨膜瓣双层修复技术，对该患者进行了口鼻腭瘘关闭术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/03268852703a/cureus-0016-00000055303-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/76dcdf2174a5/cureus-0016-00000055303-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/b278ec2143ed/cureus-0016-00000055303-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/748240039e58/cureus-0016-00000055303-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/1bbaa61261ba/cureus-0016-00000055303-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/03268852703a/cureus-0016-00000055303-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/76dcdf2174a5/cureus-0016-00000055303-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/b278ec2143ed/cureus-0016-00000055303-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/748240039e58/cureus-0016-00000055303-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/1bbaa61261ba/cureus-0016-00000055303-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf6/10981788/03268852703a/cureus-0016-00000055303-i05.jpg

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Plast Reconstr Surg. 1991 Jun;87(6):1041-7.