Haidong Li1, Ningbei Yin2, Tao Song3. 1. Plastic Surgery Hospital of the Chinese Academy of Medical Science and Peking Union Medical College, Ba-Da-Chu Road, Shi-Jing-Shan District, Beijing 100144, People's Republic of China. Electronic address: lihaidong8@gmail.com. 2. Plastic Surgery Hospital of the Chinese Academy of Medical Science and Peking Union Medical College, Ba-Da-Chu Road, Shi-Jing-Shan District, Beijing 100144, People's Republic of China. Electronic address: zhengxing66@yeah.net. 3. Plastic Surgery Hospital of the Chinese Academy of Medical Science and Peking Union Medical College, Ba-Da-Chu Road, Shi-Jing-Shan District, Beijing 100144, People's Republic of China.
Abstract
OBJECTIVES: Use the alveolar ridge approach operation to repair anterior palate oronasal fistulae. METHODS: In this study, oronasal communication defects were covered with in situ mucosal flaps, resulting in reduced palatal leakage bilaterally. This treatment approach not only provides good esthetic appearance results, but also prevents food and liquid leakage into nose. RESULTS: 25 patients were considered in this study. The alveolar ridge approach for the complication of anterior palate oronasal fistula was a good alternative for these patients; no incision scars were created, and the physiological state after surgery is optimized, with the resulting outcome most closely approximating true anatomic repair. Mucosal and gingival lateral palatal mucosa post-surgical healing results also were good, with return to a natural position. CONCLUSION: Oronasal fistula repair with the alveolar ridge approach is an easy and perhaps ideal method, with a high success rate.
OBJECTIVES: Use the alveolar ridge approach operation to repair anterior palate oronasal fistulae. METHODS: In this study, oronasal communication defects were covered with in situ mucosal flaps, resulting in reduced palatal leakage bilaterally. This treatment approach not only provides good esthetic appearance results, but also prevents food and liquid leakage into nose. RESULTS: 25 patients were considered in this study. The alveolar ridge approach for the complication of anterior palate oronasal fistula was a good alternative for these patients; no incision scars were created, and the physiological state after surgery is optimized, with the resulting outcome most closely approximating true anatomic repair. Mucosal and gingival lateral palatal mucosa post-surgical healing results also were good, with return to a natural position. CONCLUSION: Oronasal fistula repair with the alveolar ridge approach is an easy and perhaps ideal method, with a high success rate.
Authors: Alexis T Rothermel; Jaclyn N Lundberg; Thomas D Samson; Raymond W Tse; Alexander C Allori; Michael Bezuhly; Stephen P Beals; Thomas J Sitzman Journal: Cleft Palate Craniofac J Date: 2020-08-18