Menik Sayekti, - and Liska Barus, - and Ni Putu Mira Sumarta, - and Norifumi Nakamura, - (2021) Closure of Oronasal Fistulae Post Palatoraphy with Tongue Flap in Bilateral Complete Cleft Lip Palate Patient: A Case Report. Archives of Orofacial Sciences, 16 (1). ISSN 1823-8602

	Text (ARTIKEL) 19 Closure of Oronasal Fistulae.pdf Download (1MB)
	Text (TURNITIN) 19_Closure of Oronasal Fistulae_turnitin.pdf Download (3MB)
	Text (VALIDASI) 19 Closure of Oronasal Fistulae_validasi.pdf Download (3MB)
	Text (KARIL) 14.pdf Download (1MB)
	Text (TURNITIN 2) Closure of Oronasal Fistulae Post Palatoraphy with Tongue Flap in Bilateral Complete Cleft Lip Palate Patient_ A Case Report_2.pdf Download (3MB)

Abstract

Oronasal fistulae are common complication following palatoraphy. There are several surgical procedures to repair oronasal fistulae. However, conventional oronasal fistulae closure technique is not always possible, especially when the surrounding tissue is replaced by fibrotic tissue due to previous palatoraphy. Tissue defects in oronasal fistulae should be replaced with tissues providing good vascularisation such as pedicle tongue flap. A case of pedicle tongue flap used to close oronasal fistulae was reported. Eleven-year-old girl, presented with oronasal fistulae and bilateral alveolar cleft after previous palatoraphy. The oronasal fistulae were closed with pedicled tongue flap. The healing was uneventful, and the division of the pedicle tongue flap was done three weeks later and closed primarily. There was no dehiscence of the wound and masticatory functions were recorded. Vascularised flap such as pedicle tongue flap is a preferred technique to close oronasal fistulae after palatoraphy.

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