CC BY-NC-ND 4.0 · Indian J Plast Surg 2006; 39(02): 148-151
DOI: 10.1055/s-0039-1699146
Original Article
Association of Plastic Surgeons ofIndia

Orbicularis oris musculomucosal flap for anterior palatal fistula

V. K. Tiwari
Department of Burns and Plastic Surgery, Safdarjung Hospital, New Delhi, India
,
Sarabahi Sujata
Department of Burns and Plastic Surgery, Safdarjung Hospital, New Delhi, India
› Author Affiliations
Further Information

Publication History

Publication Date:
14 May 2020 (online)

ABSTRACT

Anterior palatal fistulae or residual anterior clefts are a frequent problem following palatoplasty. Various techniques have been used to repair such fistulae, each having its own advantages and disadvantages. We have successfully used orbicularis oris musculomucosal flap to close anterior fistula and residual clefts in 25 patients. This study shows the superiority of this flap over other techniques because of its reliable blood supply, easy elevation and transfer to fistula site and finally because it is a single-stage procedure.

 
  • 1 Schultz RC. Management and timing of cleft palate fistula repair. Plast Reconstr Surg 1986; 78: 739-47
  • 2 Rintala AE. Surgical closure of palatal fistulae: Follow-up of 84 personally treated cases. Scand J Plast Reconstr Surg 1980; 14: 235-8
  • 3 Henderson HP. The tadpole flap: An advancement island flap for the closure of anterior palatal fistulae. Br J Plast Surg 1987; 35: 163-6
  • 4 Lehman Jr JA, Curtin P, Hass DG. Closure of anterior palatal fistulae. Cleft Palate J 1978; 15: 33-8
  • 5 Herbert DC. Closure of a palatal fistula using a mucoperiosteal island flap. Br J Plast Surg 1974; 27: 332-6
  • 6 Reid DACampbell. Fistulae in hard palate following cleft palate surgery. Br J Plast Surg 1962; 13: 377-86
  • 7 Padgett EC. The repair of cleft palates after unsuccessful operations. Arch Surg 1930; 453-72
  • 8 Guerrero-Santos J, Altamirano JT. The use of lingual flaps in repair of fistulas of hard palate. Plast Recontr Surg 1966; 38: 123-8
  • 9 Pigott RW, Reiger FW, Moodie AF. Tongue flap repair of cleft palate fistulae. Br J Plast Surg 1984; 37: 285-93
  • 10 Al-Qattan MM. A modified technique of using the tongue tip for closure of large anterior palatal fistula. Ann Plast Surg 2001; 47: 458-60
  • 11 Guzel MZ, Alintas F. Repair of large anterior palatal fistulas using thin tongue flaps: Long term follow up of 10 patients. Ann Plast Surg 2000; 45: 109-17
  • 12 Maeda K, Ojiki H, Utsugi R, Ando S. A T-shaped musculomucosal buccal flap method for cleft palate surgery. Plast Reconstr Surg 1987; 79: 888-96
  • 13 Nakakita N, Maeda K, Ando S, Ojimi H, Utsugi R. Use of a buccal musculomucosal flap to close palatal fistulae after cleft palate repair. Br J Plast Surg 1990; 43: 452-6
  • 14 Rintala A. Labiobuccal mucosal island flap for closure of anterior palatal fistulae. Scand J Plast Reconstr Surg 1979; 13: 480-2
  • 15 Hirshowitz B, Mahler D. Two surgical procedures for closure of palatal fistulae. Cleft Palate J 1970; 685-9