This study presents a method utilizing heated ophthalmologic cautery to develop a viable model for investigating oronasal fistulas. C57BL/6 mice were used to establish the oronasal fistula (ONF) model. To create the ONF, the mice were anesthetized, immobilized, and their hard palates were exposed. During the surgical procedure, a 2.0 x 1.5 mm full-thickness mucosal injury was induced in the midline of the hard palate using ophthalmologic cautery. It was crucial to control the size of the ONF and minimize bleeding in order to ensure the success of the experiment. Verification of the ONF model's effectiveness was conducted on the 7th-day post-operation, encompassing both anatomical and functional assessments. The presence of the nasal septum within the oral cavity and the outflow of sterile water from the nostrils upon injection into the oral cavity confirmed the successful establishment of the ONF model. The model demonstrated a practical and successful oronasal fistula, characterized by a low mortality rate, significant weight changes, and minimal variation in ONF size. Future studies may consider adopting this methodology to elucidate the mechanisms of palate wound healing and explore novel treatments for oronasal fistulas.
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http://dx.doi.org/10.3791/65578 | DOI Listing |
Cytotherapy
November 2024
Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, USA; Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Georgia, USA; Department of Otolaryngology, Children's Healthcare of Atlanta, Atlanta, Georgia, USA. Electronic address:
Background Aims: Oral wound healing involves hemostasis, inflammation, proliferation and tissue remodeling. The oral cavity is a complex wound healing environment because of the presence of saliva, a high bacterial burden and ongoing physical trauma from eating. The inflammatory component of wound healing balances the polarization of macrophages in healing tissues between M1 inflammatory macrophages and M2 anti-inflammatory macrophages.
View Article and Find Full Text PDFJ Craniofac Surg
December 2024
Department of Plastic and Reconstructive Surgery, Jikei University School of Medicine.
The facial approach remains a challenge in maxillectomy and reconstruction. Various surgical approaches have been developed to improve cosmetic outcomes. The authors herein present a novel approach for endoscopic-assisted maxillectomy with minimal facial incision and endoscopic-assisted vascularized fibular osteomyocutaneous flap (VFOF) reconstruction.
View Article and Find Full Text PDFJ Ayub Med Coll Abbottabad
November 2024
Akbar Niazi Teaching Hospital, Islamabad-Pakistan.
Background: Palate, a midface bone, shapes the face and supports buttresses. Palatine process of maxilla and horizontal plate of palatine bone constitute it. Palatal bone is thicker anteriorly and laterally than posteriorly and centrally.
View Article and Find Full Text PDFCleft Palate Craniofac J
November 2024
Department of Plastic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Objective: To evaluate the efficacy of tongue flaps in closing large palatal fistulas secondary to cleft palate repair in terms of functionality, esthetics, and donor site morbidity.
Design: Tertiary academic center.
Setting: We report our 8-year surgical experience with tongue flaps, with our parachute suture technique in flap inset, and not using tongue fixation methods or feeding tubes.
Cleft Palate Craniofac J
November 2024
Oral Health Centre of Expertise/Western Norway, Bergen, Norway.
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