Morsi Yara, Mansour Mohamed, Shaker Shady, Ibrahim Waleed, AlDainy Duaa, Shaheen Hamed
Department of Craniomaxillofacial Surgery, Nasser Institute Hospital, Cairo, Egypt.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Cairo, Egypt.
J Plast Reconstr Surg. 2023 Jul 31;3(1):10-15. doi: 10.53045/jprs.2023-0004. eCollection 2024 Jan 27.
To present a new protocol for closure of cocaine fistulae using a combination of palatal flap delay and facial artery musculomucosal flap demonstrating its reliability for closing these challenging defects and its advantages compared to the other used techniques such as turned over palatal, tongue, temporalis muscle, and radial forearm free flaps.
Eight patients presenting with oronasal communication who admitted sniffing cocaine were treated using palatal flap delay in combination with facial artery musculomucosal flap after quitting cocaine abuse. All cases were followed up for a period of 12-18 months where healing pattern, signs and symptoms of breakdown, recurrence, or residual fistulae in addition to patient satisfaction using a visual analog scale were evaluated.
All eight patients showed a very good healing pattern without any signs and symptoms of breakdown, recurrence, or residual fistulae. VAS assessment for patient satisfaction where 10 being the most satisfied showed that four patients reported score 10, three reported score 9, and one reported score 8.
The combination of palatal flap delay and FAMM flap is very reliable for cocaine fistulae closure.
介绍一种使用腭瓣延迟术联合面动脉肌黏膜瓣关闭可卡因瘘管的新方案，证明其在关闭这些具有挑战性的缺损方面的可靠性，以及与其他常用技术（如翻转腭瓣、舌瓣、颞肌瓣和桡侧前臂游离瓣）相比的优势。
8例因吸食可卡因导致口鼻相通的患者，在戒除可卡因滥用后，采用腭瓣延迟术联合面动脉肌黏膜瓣进行治疗。所有病例均随访12 - 18个月，评估愈合模式、破裂、复发或残留瘘管的体征和症状，以及使用视觉模拟量表评估患者满意度。
所有8例患者均显示出非常好的愈合模式，无任何破裂、复发或残留瘘管的体征和症状。以10分为最满意的视觉模拟量表患者满意度评估显示，4例患者报告得分为10分，3例报告得分为9分，1例报告得分为8分。
腭瓣延迟术联合面动脉肌黏膜瓣在关闭可卡因瘘管方面非常可靠。
