Membrane Assisted Palatal Fistula Closure in a Cleft Palate Patient: A Novel Technique
Palatal fistula following cleft palate repair, is one of the considerable complications and remains a challenging problem to the surgeons. The reported recurrence rate of the fistula is between 33% to 37%. Due to fibrosis and poor vascularity of adjacent tissues, high recurrence rates are typical....
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2016-03-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/7506/17627_CE(RA1)_F(T)_PF1(SSAK)_PFA(AK)_PFA2(HNAK)_PF2(PAG).pdf |
Summary: | Palatal fistula following cleft palate repair, is one of the considerable complications and remains a challenging problem to the surgeons. The
reported recurrence rate of the fistula is between 33% to 37%. Due to fibrosis and poor vascularity of adjacent tissues, high recurrence rates
are typical. Closure of palatal fistulas can be achieved by different surgical techniques like local, regional and distant flaps. Local turnover
flaps, pedicled flaps from oral mucosa, buccal fat pad flaps, inter-positional cartilage grafts can be utilized for management of small fistulas.
For larger fistualas, tongue flaps, temporalis muscle flaps, musculomucosal flaps, nasal septal flaps and free flaps can be used. These
procedures are often cumbersome and leave a raw nasal or oral surface, which may increase the incidence of postoperative problems or
some flaps can be bulky and may require a second-stage procedure. Different synthetic materials such as alloderm, Poly-D and L-Lactic
Acid or “PdLLA” and collagen membrane are used in multilayer repair represented by the nasal mucosa, the inter-positional graft and oral
mucosa. These interpositional grafts provide a scaffold for in growth of tissues, revascularization and mucosal epithelialization. We present
a case of closure of an oronasal fistula, using resorbable collagen membrane in three layered repair to avoid recurrence. |
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ISSN: | 2249-782X 0973-709X |