Research Article| Volume 65, ISSUE 9, e237-e240, September 2012

Closure of palatal fistula with local double-breasted mucoperiosteal flaps

Published:March 05, 2012DOI:


      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.


      All fistulas successively healed, none of our patients developed any significant postoperative bleeding, infection or fistula recurrence.


      Double breasated mucoperiostial flap is a simple successful option for correction of oronasal fistula.


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