6
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Use of tongue flap as alternative for the closure of palatinal fistulas in patients with sequela of palatoplasty Translated title: Uso del colgajo de lengua como alternativa para el cierre de las fístulas palatinas en pacientes con secuela de palatoplastia

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          ABSTRACT Aims: A retrospective study was conducted in the Department of Oral and Maxillofacial Surgery Dr. Atilio Perdomo; Ángel Larralde Hospital, Carabobo- Venezuela, which describes the procedure and protocol of the postoperative period of patients operated on multiple occasions for the closure of palatal fistulas. Material and methods: A total of 20 patients treated for palatal fistulas were included in this study, in the period between 2014-2018. Patients with presence of sequelae of palatal fistulas, large fistulas with inadequate local scars, presence of oronasal communication and hypernasal resonance were considered. Patients were evaluated during the first 24 hours, 21 days and 6 months. Results: A total of 20 patients (12 men and 8 women) with palatal fistulas were treated with tongue flap, aged between 25 and 40 years. In the postoperative period, patients reported 58 % of cases, mild pain. The most frequent clinical signs during the postoperative period were presented in 60 % of the patients, showing headache, passive bleeding, severe pain. No significant changes in lingual motility. Acoustic analysis of the 6-month late postoperative control voice, presented favorable changes in the intonation line, showing its continuity. All remaining cases showed satisfactory cure, and donor site morbidity was minimal. Conclusions: The tongue flaps are an excellent alternative for closing large or recurrent palatal fistulas, due to their versatility and excellent vascularity of the area. However, the design and the delicate manipulation of the flap are also decisive.

          Translated abstract

          RESUMEN Objetivos: Se realizó un estudio retrospectivo en el Departamento de Cirugía Oral y Maxilofacial Dr. Atilio Perdomo, Hospital Ángel Larralde, Carabobo- Venezuela, que describe el procedimiento y protocolo del postoperatorio de pacientes operados en múltiples oportunidades para el cierre de fístulas palatales. Material y métodos: Se incluyeron en este estudio un total de 20 pacientes tratados por fístulas palatinas, en el periodo comprendido entre 2014 y 2018. Se consideraron secuelas de fístulas palatinas, las fístulas grandes con cicatrices locales inadecuadas, la presencia de comunicación oronasal y resonancia hipernasales. Los pacientes fueron evaluados durante las primeras 24 horas, 21 días y 6 meses. Resultados: Un total de 20 pacientes (12 hombres y 8 mujeres) con fístulas palatales fueron tratados con colgajo de lengua, con edades entre 25 y 40 años. En el postoperatorio, los pacientes informaron el 60 % de los casos, dolor leve. Los signos clínicos más frecuentes durante el postoperatorio se presentaron en el 60 % de los pacientes, con cefalea, sangrado pasivo y dolor intenso. No hay cambios significativos en la motilidad lingual. El análisis acústico de la voz de control postoperatorio tardío de 6 meses presentó cambios favorables en la línea de entonación mostrando su continuidad. Todos los casos restantes mostraron una cura satisfactoria, y la morbilidad del sitio donante fue mínima. Conclusiones: Los colgajos de lengua son una excelente alternativa para el cierre de fístulas palatinas grandes o recurrentes debido a su versatilidad y excelente vascularización del área, lo que brinda una gran seguridad al cirujano en el éxito del tratamiento, sin embargo, el diseño y la delicada manipulación del colgajo también son determinantes.

          Related collections

          Most cited references25

          • Record: found
          • Abstract: found
          • Article: not found

          Fistula incidence after primary cleft palate repair: a systematic review of the literature.

          The development of an oronasal fistula after primary cleft palate repair has a wide variation reported in the literature. The aim of this review is to identify the reported oronasal fistula incidence to provide a benchmark for surgical practice.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Oronasal fistula in cleft palate surgery

            Oronasal fistula (ONF) is the commonest complication associated with cleft palate surgery. The main symptoms associated with ONF are nasal regurgitation of food matter and hypernasality of voice. Repair of cleft palate under tension is considered to be the main reason of ONF though vascular accidents and infection can also be the cause. Most of the ONFs are situated in the hard palate or at the junction of hard and soft palate. Repair of ONF depends on its site, size and mode of presentation. A whole spectrum of surgical procedures starting from small local flaps to microvascular tissue transfers have been employed for closure of ONF. Recurrence rate of ONF is 25% on an average after the first attempt of repair.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Closure of oroantral fistula.

              M N Awang (1988)
              Oroantral fistula is an uncommon complication in oral surgery. Although smaller fistulas of less than 5 mm in diameter may close spontaneously, larger fistulas always require surgical closures. The literature review revealed various procedures for the closure of oroantral fistulas. These procedures may be subdivided into local flap, distant flap and grafting. Procedures involving local flaps are usually adequate to close minor to moderate size defects. Those procedures utilizing the buccal mucoperiosteal flap as the tissue closure include straight-advancement, rotated, sliding and transversal flap procedures; while those involving the palatal mucoperiosteum are straight advancement, rotational-advancement, hinged and island flap procedures. The combinations of various local flaps to strengthen the tissue closure are also being advocated. The advantages and the limitations of these procedures are discussed. Distant flaps and bone grafts are usually indicated in the closure of larger defects in view of their greater tissue bulks. Tongue flaps have superseded extra-oral flaps from extremities and forehead for aesthetic reasons and also in view of their similar tissue replacement. Various tongue flap procedures are described. At present, various alloplastic materials such as gold, tantalum and polymethylmethacrylate are infrequently reported in the closure of oroantral fistulas. However, in the light of successful reports over the use of biological materials, collagen and fibrin, in the closure of oroantral fistulas, there seems to be another simple alternative technique for treating oroantral fistulas.
                Bookmark

                Author and article information

                Journal
                maxi
                Revista Española de Cirugía Oral y Maxilofacial
                Rev Esp Cirug Oral y Maxilofac
                Sociedad Española de Cirugía Oral y Maxilofacial y de Cabeza y Cuello (Madrid, Madrid, Spain )
                1130-0558
                2173-9161
                June 2020
                : 42
                : 2
                : 76-82
                Affiliations
                [1] orgnameCarabobo University Venezuela
                Article
                S1130-05582020000200076 S1130-0558(20)04200200076
                10.20986/recom.2020.1100/2019
                206fb5a9-21b4-4464-aef5-0e1583f2c75d

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 06 April 2020
                : 15 October 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 7
                Product

                SciELO Spain

                Categories
                Originals

                flap,Fístulas palatinas,comunicación oronasal,Palatal fistulas,colgajo de lengua,tongue flap,colgajo,oronasal communication

                Comments

                Comment on this article