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

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"

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