Summary
Introduction and objectives
Despite improvement to surgical techniques of cleft-palate surgery, palatal fistulas
remain a challenge. Many surgical procedures have been described for repair of these
fistulas either by using the local tissue or by importing a new tissue from adjacent
areas. In this report, we describe our technique for closure of palatal fistula using
double-breasted mucoperiosteal flaps based on the greater palatine artery.
Patients and methods
Eight patients with oronasal fistulas located in the posterior two-thirds of the hard
palate following cleft-palate repair were treated by double-breasted mucoperiosteal
flaps with an overlapping zone of 1–2 cm.
Results
All fistulas successively healed, none of our patients developed any significant postoperative
bleeding, infection or fistula recurrence.
Conclusions
Double breasated mucoperiostial flap is a simple successful option for correction
of oronasal fistula.
Keywords
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Article info
Publication history
Published online: March 05, 2012
Accepted:
February 4,
2012
Received:
November 22,
2011
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
