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Closure of fistula of the hard palate with two layers of mucoperiosteum.

Abstract Oronasal fistula represents a functional problem, as it may result in nasal regurgitation of food and fluids and it also leads to hypernasal speech. Many methods have been proposed for its closure with a high recurrence rate. The aim of this study was to assess the efficacy of closure of hard palate fistula by two layers of mucoperiosteal flaps.
PMID
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V-Y two-layer repair for oronasal fistula of hard palate.

Authors

Mayor MeshTerms
Keywords

Hard palate

Mucoperiosteal flap

Nasal regurgitation

Oronasal fistula

Journal Title international journal of pediatric otorhinolaryngology
Publication Year Start




PMID- 29287878
OWN - NLM
STAT- MEDLINE
DCOM- 20180116
LR  - 20180116
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 104
DP  - 2018 Jan
TI  - Closure of fistula of the hard palate with two layers of mucoperiosteum.
PG  - 43-46
LID - S0165-5876(17)30516-5 [pii]
LID - 10.1016/j.ijporl.2017.10.037 [doi]
AB  - OBJECTIVE: Oronasal fistula represents a functional problem, as it may result in 
      nasal regurgitation of food and fluids and it also leads to hypernasal speech.
      Many methods have been proposed for its closure with a high recurrence rate. The 
      aim of this study was to assess the efficacy of closure of hard palate fistula by
      two layers of mucoperiosteal flaps. METHODS: Eighteen patients with fistula of
      the hard palate were included. The fistula was repaired by two layers of
      mucoperiosteal flaps; the first layer was created from the mucoperiosteum
      surrounding the fistula as bilateral hinge flaps and the second layer was formed 
      of a rotational flap based on the greater palatine artery. Pre- and postoperative
      clinical assessment was performed. RESULTS: The etiology of fistulas was previous
      cleft palate repair in 13 patients, previous nasal septal surgery in 3 patients, 
      and untreated sharp accidental trauma to the palate in 2 patients. All patients
      presented with nasal regurgitation and hypernasal speech. Complete closure of all
      fistulas was achieved at first attempt, with no recurrence through the follow up 
      period. CONCLUSIONS: Closure of oronasal fistula by two layers of mucoperiosteal 
      flaps is an effective method and it has neither complications nor recurrence.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Abdel-Aziz, Mosaad
AU  - Abdel-Aziz M
AD  - Department of Otolaryngology, Faculty of Medicine, Cairo University, Egypt.
      Electronic address: [email protected]
FAU - Kamel, Ahmed
AU  - Kamel A
AD  - Department of Otolaryngology, Faculty of Medicine, Beni Suef University, Egypt.
FAU - Fawaz, Mohamed
AU  - Fawaz M
AD  - Department of Otolaryngology, Faculty of Medicine, Beni Suef University, Egypt.
FAU - Rezk, Ibrahim
AU  - Rezk I
AD  - Department of Otolaryngology, Faculty of Medicine, Sohag University, Egypt.
FAU - Kamel, Mohamed
AU  - Kamel M
AD  - Department of Otolaryngology, Faculty of Medicine, Fayoum University, Egypt.
LA  - eng
PT  - Journal Article
DEP - 20171031
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Female
MH  - Humans
MH  - Male
MH  - Nose Diseases/*surgery
MH  - Oral Fistula/*surgery
MH  - Oral Surgical Procedures/adverse effects/*methods
MH  - Palate, Hard/*surgery
MH  - Surgical Flaps/*adverse effects
MH  - Young Adult
OTO - NOTNLM
OT  - Hard palate
OT  - Mucoperiosteal flap
OT  - Nasal regurgitation
OT  - Oronasal fistula
EDAT- 2017/12/31 06:00
MHDA- 2018/01/18 06:00
CRDT- 2017/12/31 06:00
PHST- 2017/08/27 00:00 [received]
PHST- 2017/10/23 00:00 [revised]
PHST- 2017/10/24 00:00 [accepted]
PHST- 2017/12/31 06:00 [entrez]
PHST- 2017/12/31 06:00 [pubmed]
PHST- 2018/01/18 06:00 [medline]
AID - S0165-5876(17)30516-5 [pii]
AID - 10.1016/j.ijporl.2017.10.037 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2018 Jan;104:43-46. doi:
      10.1016/j.ijporl.2017.10.037. Epub 2017 Oct 31.