The ultimate goal of cleft palate repair is to achieve an intact palate with the separation of the oral and nasal cavities. However, some patients develop an oronasal fistula in the secondary palate after palatoplasty. Postoperatively, a secondary palatal oronasal fistula may develop, leading to functional problems. In this study, we describe a patient with recurrent oronasal fistula and alveolar cleft with multiple failed previous reconstructions at another clinic. The oronasal fistula and alveolar cleft were repaired using a tongue flap and an iliac bone graft, respectively. The patient demonstrated excellent clinical progress with no recurrence of the oronasal fistula at the 1-year follow-up.
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http://dx.doi.org/10.7181/acfs.2022.00948 | 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.
Objectives: This study aimed to a) assess intermaxillary sagittal relations, dental alignment, and occlusion among patients with Cleft Lip and/or Palate (CL/P) and b) evaluate the need for future dental treatment.
Material/methods: Clinical assessment, lateral cephalogram, orthopantomogram, and study models from 1019 patients with CL/P collected at age 16 from the Bergen national CLP team in Norway. Records included the number of dental agenesis or hypoplasia, ANB angulation, dental alignment, occlusion, oronasal fistula, and indications for future dental treatment needs.
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