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

Abstract

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.

Reconstruction of Large Acquired Palatal Defects Using Facial-Submental Artery Island Flap

“…The goal of palatal reconstruction is to separate the oral cavity and nasal cavity and restore physiological nasal respiration, swallowing and speech functions through the tight closure of the defect. 11 The separation of the nasal cavity from the oral cavity is the foundation of good speech and swallowing function. The repair of fistula generally requires the repair of the nasal side and the oral side.…”