Closure of Large Palatal Defect Using a Tongue Flap

Herford, Alan S.; Tandon, Rahul; Pivetti, Luca; Cicciù, Marco

doi:10.1097/scs.0b013e318285d474

Cited by 10 publications

(7 citation statements)

References 17 publications

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“…[2]. In that study, a 13-year-old patient with leukemia underwent the successful closure of a large palatal fistula using a tongue flap [6]. In a prospective study of 20 patients with anterior palatal fistulae (larger than 5 mm), Sodhi et al [7], reported that successful closure was achieved in 90% of cases.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of large anterior palatal fistulae using anteriorly-based dorsal tongue flaps

Fang¹,

Huang²,

Chen³

2018

Otorhinolaryngol Head Neck Sur

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Background:We evaluate the feasibility and outcomes of the reconstruction of large anterior palatal fistulae using anteriorly-based dorsal tongue flaps or ventral tongue flaps.Methods: Eight patients with anterior palatal fistulae using anteriorly based dorsal tongue flaps. The defect size varied from 1.0 × 1.0 cm to 1.5× 2.0 cm, and the tongue flap size varied from 1.5 × 3.5 cm to 2.0 × 3.5 cm.Results: All patients underwent successful reconstruction of palatal defects using anteriorly based tongue flaps, and no case of spontaneous detachment of the tongue flap occurred. The patients with palatal fistulae were followed up for 18-28 months, and no recurrence was encountered. Conclusion:An anteriorly based dorsal tongue flap is a safe and feasible surgical technique for the closure of anterior palatal fistulae.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of large anterior palatal fistulae using anteriorly-based dorsal tongue flaps

Fang¹,

Huang²,

Chen³

2018

Otorhinolaryngol Head Neck Sur

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“…Lastly, tongue flaps are still used and have their indication as dorsal, ventral, or lateral flaps. All require secondary surgery to free the pedicle, which can be avoided using free flaps. Also up to four weeks of feeding, swallowing and speaking with a fixed tongue and general reduction of patient life quality during this stage is a significant disadvantage of the tongue flap.…”

Section: Discussionmentioning

confidence: 99%

Intraoral anastomosis of a prelaminated radial forearm flap in reconstruction of a large persistent cleft palate

et al. 2013

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In this report, we present a case of a prelaminated radial forearm flap in reconstruction of a large persistent cleft palate with transoral single arterial and three venous anastomoses. A 17-years-old female patient presented a large cleft palate defect and complete dentition, dysmelia of both arms and bilateral thumb aplasia. A radial flap was prelaminated using oral mucosa 5 days prior to transplantation. Five days after flap prelamination, the facial artery and vein, submandibular vein, and a venous branch to the masseter muscle behind the buccinator muscle fibers were exposed through an intraoral incision lateral to the inferior right mucogingival junction. The radial artery, its bilateral accompanying veins, and the cephalic vein of transplanted flap were anastomosed transorally to the facial vessels, submandibular vein, and masseter branch. The vessel pedicle ran through the palatoglossal arch dorsal to the second upper molar. Good flow and flap perfusion were evinced, and further-on successful healing was achieved. The case encourages similar treatment in comparable situations avoiding facial nerve hazard and extraoral scars.

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“…The study was retrospective and, therefore, did not require approval from the ethics committee. The medical charts were reviewed to obtain the following data: (1) age, (2) sex, (3) localization, (4) comorbidities, (5) medical treatment, (6) surgical resection, (7) flap type, and (8) time from debridement surgery to reconstruction.…”

Section: Methodsmentioning

confidence: 99%

Reconstruction of Head and Neck Mucormycosis: A Literature Review and Own Experience in Immediate Reconstruction

Palacios

Hanson

Rendon

et al. 2019

J Reconstr Microsurg Open

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Background Mucormycosis is a rare invasive and fatal fungal infection. A prompt diagnosis is the most critical aspect for an improved patient outcome. Along with antifungal therapy, radical surgical debridement must be done expeditiously to eradicate this fungus. In this article, we evaluated the feasibility of immediate reconstruction after surgical debridement. Methods A retrospective study was performed at Hospital Regional de Alta Especialidad de Ixtapaluca, Estado de México, Mexico, between June 2017 and June 2018. Five patients, three males and two females, with a mean age of 39 years were presented in addition to a literature review based on MEDLINE, Google Scholar, PubMed Central, and Embase platforms until June 2018. Results From our presented series, all five flaps survived and showed no evidence of mucormycosis recurrence or flap loss. In the literature review, we collected 16 cases from 14 different publications of individuals with head and neck mucormycosis. Reconstruction was made with a free (12 cases) or pedicled flap (four cases). Eleven males and five females with a mean patient age of 33.0 years were studied. Only two authors described an early or immediate reconstruction. The average time of the delayed reconstruction after surgical debridement was 16.7 weeks. Conclusion After aggressive surgical resection, immediate reconstruction can be done safely based on clinical criteria and as long as there is no evidence of hyphae invasion on wound edges in the intraoperative pathology examination.

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Closure of Large Palatal Defect Using a Tongue Flap

Cited by 10 publications

References 17 publications

Reconstruction of large anterior palatal fistulae using anteriorly-based dorsal tongue flaps

Reconstruction of large anterior palatal fistulae using anteriorly-based dorsal tongue flaps

Intraoral anastomosis of a prelaminated radial forearm flap in reconstruction of a large persistent cleft palate

Reconstruction of Head and Neck Mucormycosis: A Literature Review and Own Experience in Immediate Reconstruction

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