Journal of Prevention and Treatment for Stomatological Diseases ›› 2019, Vol. 27 ›› Issue (3): 185-188.doi: 10.12016/j.issn.2096-1456.2019.03.008

• Prevention and Treatment Practice • Previous Articles     Next Articles

Clinical effect of reconstruction of large anterior palatal fistulae by anteriorly based dorsal tongue flaps

HUANG Zhuoshan1,WEN Zuozhen1,FANG Silian2,ZHONG Jianglong1,CHEN Weiliang1()   

  1. 1.Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou 510120, China
    2.Department of Oral and Maxillofacial Surgery, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510655, China
  • Received:2018-06-04 Revised:2018-08-01 Online:2019-03-20 Published:2019-03-20
  • Contact: Weiliang CHEN E-mail:drchen@vip.163.com

RichHTML

7

PDF (PC)

57

Abstract:

Objective To evaluate the feasibility and outcomes of the reconstruction of large anterior palatal fistulae by anteriorly based dorsal tongue flaps to provide a rational reference of anteriorly based dorsal tongue flaps for clinicians.Methods Five patients with anterior hernia had a defect range of 1.0 cm × 1.0 cm to 1.5 cm × 2.0 cm, and the anterior tongue was 1.3 cm × 3.5 cm to 2.0 cm × 3.5 cm. The defects were all repaired with anteriorly based dorsal tongue flaps. The clinical efficacy was evaluated after operation, including whether the mucosal flap was infected, whether there was any shedding before the pedicle, and whether there was any perforation after operation. Thereafter, patients who were satisfied with their chewing, swallowing, speech function and appearance were followed up.Results All patients underwent successful reconstruction of palatal defects by anteriorly based tongue flaps, and no case of spontaneous detachment of the tongue flap occurred. Patients with palatal fistulae were followed up for 16-28 months, and no recurrence was encountered. The operation had no effect on the speech, agitation and swallowing function of the tongue, and patients were satisfied with the appearance.Conclusion The dorsal lingual mucosal flap pedicled with the anterior tongue is a safe and reliable method for repairing large anterior palatal fistula.

Key words: Anterior palatal fistula, Cleft palate, Tongue, Tongue flaps, Defect reconstruction, Perforation

CLC Number: 

  • R782

Figure 1

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

[1] Cordova A, Toia F, D′Arpa S, . et al. A new mucosal propeller flap(deep lingual artery axial propeller): the renaissance of lingual flaps[J]. Plast Reconstr Surg, 2015,135(3):135-142.
doi: 10.1097/PRS.0000000000000956 pmid: 25719723
[2] Strujak G, De Lima Do Nascimento TC, Biron C, et al. Pedicle tongue flap for palatal fistula closure[J]. J Craniofac Surg, 2016,27(8):2146-2148.
doi: 10.1097/SCS.0000000000003042 pmid: 28005773
[3] Kheradm AA, Garajei A . Ventral tongue myomucosal flap: a suitable choice for shaved lower vermilion border reconstruction[J]. J Craniofac Surg, 2013,24(2):e114-e116.
doi: 10.1097/scs.0b013e31826683f6
[4] Ceran C, Demirseren ME, Sarici MA , et al. Tongue flap as a reconstructive option in intraoral defects[J]. J Craniofac Surg, 2013,24(3):972-974.
doi: 10.1097/SCS.0b013e3182700bb0 pmid: 23714924
[5] Herford AS, Tandon R, Pivetti L , et al. Closure of large palatal defect using a tongue flap[J]. J Craniofac Surg, 2013,24(3):875-877.
doi: 10.1097/SCS.0b013e318285d474 pmid: 23714900
[6] Sodhi SP, Kapoor P, Kapoor D . Closure of anterior palatal fistula by tongue flap: a prospective study[J]. J Maxillofac Oral Surg, 2014,13(4):546-549.
doi: 10.1007/s12663-013-0518-3 pmid: 26225026
[7] Agrawal K, Panda KN . Management of a detached tongue flap[J]. PlastReconstr Surg, 2007,120(1):151-156.
doi: 10.1097/01.prs.0000263566.07558.50 pmid: 17572557
[8] Guzel MZ, Altintas F . Repair of large, anterior palatal fistulas using thin tongue flaps: long-term follow-up of 10 patients[J]. Ann Plast Surg, 2000,45(2):109-114.
doi: 10.1097/00000637-200045020-00001 pmid: 10949335
[9] Denny AD, Amm CA . Surgical technique for the correction of post-palatoplasty fistulae of the hard palate[J]. Plast Reconstr Surg, 2005,115(2):383-387.
doi: 10.1097/01.prs.0000214724.20597.23 pmid: 15692340
[10] Jeyaraj PE . A study on dorsal pedicled tongue flap closure of palatal fistulae and oronasal communications[J]. Ann Maxillofac Surg, 2017,7(2):180-187.
doi: 10.4103/ams.ams_94_17 pmid: 29264283
[11] Bonanthaya K, Shetty P, Sharma A , et al. Treatment modalities for surgical management of anterior palatal fistula: comparison of various techniques, their outcomes, and the factors governing treatment plan: a retrospective study[J]. Natl J Maxillofac Surg, 2016,7(2):148-152.
doi: 10.4103/0975-5950.201357
[12] Jeyaraj CP . Techniques to improve reliability and predictability of the dorsal pedicled tongue flap in closure of palatal defects and oronasal fistulae[J]. J Maxillofac Oral Surg, 2018,17(2):175-181.
doi: 10.1007/s12663-017-1035-6 pmid: 29618882
[13] Habib AS, Brennan PA . The deepithelialized dorsal tongue flap for reconstruction of anterior palatal fistulae: literature review and presentation of our experience in Egypt[J]. Cleft Palate Craniofac J, 2016,53(5):589-596.
doi: 10.1597/15-017
[14] Vasishta SM, Krishnan G, Rai YS , et al. The versatility of the tongue flap in the closure of palatal fistula[J]. Craniomaxillofac Trauma Reconstr, 2012,5(3):145-160.
doi: 10.1055/s-0032-1313352
[15] Mahajan RK, Chhajlani R, Ghildiyal HC . Role of tongue flap in palatal fistula repair: a series of 41 cases[J]. Indian J Plast Surg, 2014,47(2):210-215.
doi: 10.4103/0970-0358.138950 pmid: 4147455
[16] Elyassi AR, Helling ER, Closmann JJ . Closure of difficult palatal fistulas using a "parachuting and anchoring" technique with the tongue flap[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011,112(6):711-714.
doi: 10.1016/j.tripleo.2010.12.022 pmid: 21439863
[17] Alsalman AK, Algadiem EA, Alwabari MS , et al. Single-layer closure with tongue flap for palatal fistula in cleft palate patients[J]. Plast Reconstr Surg Glob Open, 2016,4(8):e852.
doi: 10.1097/GOX.0000000000000841 pmid: 27622120
[18] Mohan V, Nair RU, Usha AM. Versatility of tongue flaps for closure of palatal defects-case report[J]. J Clin Diagn Res, 2017, 11(1): ZD31-ZD33.
doi: 10.7860/JCDR/2017/23978.9219 pmid: 28274072
[19] 郭风如, 康晓伟, 韩雪 , 等. 腭瘘行舌瓣修复手术的围手术期护理[J]. 中华护理杂志, 2012,47(7):609-610.
doi: 10.3761/j.issn.0254-1769.2012.07.011
[20] Ariffuddin I, Arman ZM, Wan AW , et al. The use of facial artery musculomucosal (FAMM) readvancement flap in closure of recurrent oronasal fistula[J]. Med J Malaysia, 2018,73(2):112-113.
[1] ZHANG Haifeng,NAN Xinrong,HUA Yongqing. Research progress on the consistency and evaluation factors of cervical lymphatic metastasis in early tongue cancer [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(5): 336-340.
[2] DU Xinya,LI Xiaoyu,XIE Chun,WU Bin,SONG Guangbao,DU Ye. Detection of MSX1 gene mutations in patients with congenital tooth loss in Van der Woude syndrome [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(1): 47-51.
[3] Xinyu LIN,Weixiong CHEN,Xinyuan LEI,Zhanpeng OU,song FAN,Jinsong LI. Screening and identification of mitochondrial miRNAs related to chemotherapy resistance in tongue squamous cell carcinoma [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(7): 417-422.
[4] Xinyuan LEI,Xinyu LIN,Zhanpeng OU,Yi RUAN,Jinsong LI. Mitochondrial fission protein 1 determines mitochondrial fission and cisplatin sensitivity in tongue squamous cell carcinoma [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(6): 350-354.
[5] ZHONG Wende,LIU Rongjing,GUAN Hongbing,CHEN Guangsheng. Research on the inhibitory effect of Baicalin on the human tongue squamous cell carcinoma cell line SCC15 [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(4): 226-230.
[6] Chaobin PAN. Research progress in comprehensive and sequential treatment of tongue squamous cell carcinoma [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(5): 273-280.
[7] Lijuan ZHOU, Siming XIE. Progress in research on connexin 43 in oral squamous cell carcinoma [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(5): 338-340.
[8] Wenxi HUANG, Ying OUYANG, Changbo WEI, Dongsheng YU. Expression of miR-21, miR-221, and miR-222 in exosomes of CAL27 tongue squamous cell carcinoma cells [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(4): 222-226.
[9] Huang SHU, Feng YANG, Ji WANG, Yuhan XIAO, Guicong DING. Study of event-related potentials in school-age children with cleft palate [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(4): 236-239.
[10] Yan GAO, Xiaoqiong JIANG. Use of dental operating microscope in non-surgical endodontic treatment [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(6): 341-346.
[11] Ya-nan WANG, Hao LIU, Jun ZHANG. Expression of autophagy-related proteins PTEN and MAP1LC3 in tongue squamous cell carcinoma [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(5): 294-299.
[12] Ji ZHANG,Zhong-yuan YANG,Xing ZHANG,Shu-wei CHEN,Fan GAO,Xi-di WANG,Ming SONG. A 50 years' single-center analysis of epidemiologic characteristics of oral cancer in Guangdong Province [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(1): 13-20.
[13] Fang TAN,Hai BAO,Chun HUANG,Feng CAI. Effects of adult cleft palate surgery combined with pharyngoplasty [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(1): 41-43.
[14] LI Zhi-qiang,ZOU Rui,OUYANG Ke-xiong,BAI Zhi-bao,AI Wei-jian. Study on the role of long non-coding RNA TUG1 in tongue squamous cell carcinoma [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(9): 511-514.
[15] Xiao-zhi LÜ,Ting-ru SHAO,Meng ZHAO. Reconstruction of defects with supraclavicular artery island flap following ablation of tongue squamous cell carcinoma [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(7): 386-389.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] Hong-chang LAI,Jun-yu SHI. Maxillary sinus floor elevation[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(1): 8 -12 .
[2] Pin ZHOU, Yang-fei LI. MRI study of temporomandibular joint disc position in asymptomatic volunteers[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(4): 239 -244 .
[3] Xinxin XIA, Fang FANG, Lijuan CHENG. Shaping ability of Pathfile and WaveOne in simulated root canals[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(6): 365 -368 .
[4] Yuanhong LI, Xinyi FANG, Yu QIU, Lei CHENG. Experimental study on the effects of green tea on salivary flow rate and pH value[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(9): 560 -564 .
[5] Chengzhang LI. Masticatory muscles in occlusion[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(12): 755 -760 .
[6] . [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(1): 1 .
[7] Zhirong WU, Shiguang Huang. Research progress on the etiology, clinical examination and treatment of peri-implantitis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(6): 401 -405 .
[8] Xiaowu YAO, Shisheng CHEN, Zizheng LU, Minxiao LIN. Clinical report and literature review on the amyloidosis of salivary glands[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(8): 533 -536 .
[9] Lan LIAO, Lijun ZENG. Updated research on digitalization in aesthetic restoration[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(7): 409 -414 .
[10] Yu LU, Chengxia LIU, Zhongjun LIU. Role of TRAF6 in inflammatory responses of human osteoblast-like cells with Enterococcusfaecalis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(7): 420 -425 .

Copyright © Editorial Board of Journal of Prevention and Treatment for Stomatological Diseases

This work is licensed under a Creative Commons Attribution 3.0 License.

Address:Guangzhou City Jiangnan Road South 366, Editorial office ofJournal of Prevention and Treatment for Stomatological Diseases, zip code: 510280　Fax:020-34304115　E-mail：kqjbfz@vip.126.com

Supported by:Beijing Magtech

This work is licensed under a Creative Commons Attribution 3.0 License.