AlQahtani Feras AlMofreh, Kuriadom Sam, Mastrogeorgiou Michalis, Abualgasim Abubaker, Shokier Hanan Mr, ElSayed Shadia A
Department of Oral Surgery, Queen Mary University of London, London, UK.
College of Dentistry, Center of Medical and Bio-allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates.
Oral Maxillofac Surg. 2025 May 19;29(1):103. doi: 10.1007/s10006-025-01392-w.
Is to Sytematically review the available evidence on the effectiveness of tongue flaps in the Closure of Palatal Fisutlas.
The study protocol was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols, and it was registered with the International Prospective Register of Systematic Reviews under registration number CRD42023397034.
Our search strategy yielded 587 articles. Of these, 150 were duplicate studies, and 437 were screened. Of these studies, 392 studies were excluded based on their titles and abstracts. 45 records were assessed for eligibility in which 29 were excluded as they did not meet the inclusion criteria. Finally, 16 studies met the criteria for inclusion, and they were critically reviewed.
This study highlights that tongue flaps, particularly dorsal tongue flaps (DTF) and posterior tongue flaps (PTF), are effective options for palatal fistula closure, demonstrating high success rates and a favorable complication profile. Nonetheless, additional research is necessary to explore the potential of these techniques for closing oroantral fistulas (OAF). Further investigations should employ randomized controlled trials with larger patient cohorts and extended follow-up periods to comprehensively evaluate the efficacy, complication rates, and long-term outcomes of DTF and PTF in OAF treatment.
系统回顾关于舌瓣在腭裂瘘关闭中有效性的现有证据。
本研究方案是根据系统评价与Meta分析方案的首选报告项目制定的，并在国际前瞻性系统评价注册库中注册，注册号为CRD42023397034。
我们的检索策略共获得587篇文章。其中，150篇为重复研究，437篇经过筛选。在这些研究中，392篇基于标题和摘要被排除。对45条记录进行了资格评估，其中29条因不符合纳入标准而被排除。最后，16项研究符合纳入标准，并对其进行了严格审查。
本研究强调，舌瓣，尤其是舌背瓣（DTF）和舌后瓣（PTF），是腭裂瘘关闭的有效选择方案，成功率高且并发症情况良好。尽管如此，仍需进一步研究以探索这些技术在关闭口鼻瘘（OAF）方面的潜力。进一步的研究应采用随机对照试验，纳入更大的患者队列并延长随访期，以全面评估DTF和PTF在OAF治疗中的疗效、并发症发生率和长期结局。
