Closure of anterior post-palatoplasty fistula using superior lip myomucosal flap

V–Y two-layer repair for oronasal fistula of hard palate

“…We achieved a success rate of 91% with partial necrosis of the distal part of the flap in 3 cases [9]. While in another study, we used a buccinator myomucosal flap from the inner side of the cheek and a hinge mucoperiosteal flap in closure of posterior palatal fistula at the junction between the hard and soft palates.…”

“…However, the incidence of recurrence after initial fistula closure is high. Faced with recurrence, the surgeon's options extend to flaps; tongue flap [7,8], orbicularis oris musculomucosal flap [5,9], free flaps [10] or grafts; buccal mucosal graft [11], Conchal graft [12], bone graft [13]. Acellular dermal matrix has also been used in palatal fistula repair with good results [14].…”

The use of buccal flap in the closure of posterior post-palatoplasty fistula

“…In a previous study [9], we treated anterior postpalatoplasty fistula (type V) using a superior lip myomucosal flap with a high success rate (91%). In this study, we treated fifteen patients with posterior post-palatoplasty fistula (type III) using buccal myomucosal flap.…”

“…However, the incidence of recurrence after initial fistula closure is high. Faced with recurrence, the surgeon's options extend to flaps; tongue flap [7,8], Orbicularis oris musculomucosal flap [5,9], free flaps [10] or grafts; buccal mucosal graft [6], Conchal graft [11], bone graft [12]. Acellular dermal matrix has also been used in palatal fistula repair with good results [13].…”

Furlow technique for treatment of soft palate fistula

“…Faced with recurrence, the surgeon's options extend to flaps and/or grafts. Flaps may be in the form of tongue flap [6,7], Orbicularis oris musculomucosal flap [5,8] or free flaps [9], and grafts may be in the form of buccal mucosal graft [10], Conchal graft [11] or bone graft [12]. When speech disturbance occurs as a result of a fistula of significant size, prosthetic obturation of the fistula (even temporary) can be considered when weighed against repeated failed surgical procedures [13].…”