Recent Advances on Reconstruction of Perforation after Palatoplasty

doi:10.3969/j.issn.1005-4979.2019.02.010

Abstract

Abstract:

The postoperative oronasal perforations in palate after palatoplasty may cause the abnomalities of speech and deglutition. Secondary operative repair seemed always imperative. This paper reviewed the incidence of cleft palate perforation, the cause of perforation, the progress of repair and the application of the material in perforation repair.

Key words: cleft palate, perforation, repair

摘要：

腭裂术后穿孔是常见腭裂术后并发症，二次修复困难，且影响语言、进食等功能，是临床难点之一。本文就腭裂穿孔的发生率、穿孔原因、修复术式进展及材料在穿孔修复中应用进行综述.

关键词: 腭裂, 穿孔, 修复

CLC Number:

R732.2

CHEN xin, ZHOU Jian. Recent Advances on Reconstruction of Perforation after Palatoplasty[J]. 《Journal of Oral and Maxillofacial Surgery》, doi: 10.3969/j.issn.1005-4979.2019.02.010.

陈新, 周健. 腭裂术后穿孔修复的最新进展[J]. 《口腔颌面外科杂志》, doi: 10.3969/j.issn.1005-4979.2019.02.010.

/ / Recommend / Download Citations

URL: https://journal06.magtech.org.cn/Jweb_joms/EN/10.3969/j.issn.1005-4979.2019.02.010

https://journal06.magtech.org.cn/Jweb_joms/EN/Y2019/V29/I2/110

References

[1] Deshpande GS, Campbell A, Jagtap R, et al. Early complications after cleft palate repair: a multivariate statistical analysis of 709 patients[J]. J Craniofac Surg, 2014, 25(5): 1614-1618.

[2] Rossell-Perry P, Cotrina-Rabanal O, Barrenechea-Tarazona L, et al. Mucoperiosteal flap necrosis after primary palatoplasty in patients with cleft palate[J]. Arch Plast Surg, 2017, 44(3):217-222.

[3] Rossell-Perry P, Figallo-Hudtwalcker O, Vargas-Chanduvi R, et al. Risk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palate[J]. J Plast Surg Hand Surg, 2017, 51(5): 348-351.

[4] 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.

[5] 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.

[6] Ceran C, Demirseren ME, Sarici M, et al. Tongue flap as a reconstructive option in intraoral defects[J]. J Craniofac Surg, 2013, 24(3):972-974.

[7] Nawfal F, Hicham B, Achraf B, et al. Repair of large palatal fistula using tongue flap[J]. Afr J Paediatr Surg, 2014, 11(1):82-83.

[8] 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.

[9] Rahpeyma A, Khajehahmadi S. Posteriorly based lateral tongue flap for reconstruction of large palatal-alveolar fistulas in cleft patients[J]. Ann Maxillofac Surg, 2015, 5(2): 174-178.

[10] Strujak G, Nascimento TC, Biron C, et al. Pedicle tongue flap for palatal fistula closure[J]. J Craniofac Surg, 2016, 27(8):2146-2148.

[11] 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

[12] 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.

[13] 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.

[14] Fang L, Yang MY, Wang CY, et al. A clinical study of various buccinator musculomucosal flaps for palatal fistulae closure after cleft palate surgery[J]. J Craniofac Surg, 2014, 25(2):e197-e202.

[15] Abdaly H, Omranyfard M, Ardekany MR, et al. Buccinator flap as a method for palatal fistula and VPI management[J]. Adv Biomed Res, 2015, 4:135.

[16] Abdel-Aziz M. The use of buccal flap in the closure of posterior post-palatoplasty fistula[J]. Int J Pediatr Otorhinolaryngol, 2008, 72(11): 1657-1661.

[17] Kobayashi S, Fukawa T, Hirakawa T, et al. The folded buccal musculomucosal flap for large palatal fistulae in cleft palate[J]. Plast Reconstr Surg Glob Open, 2014, 2(2): e112.

[18] Ashtiani AK, Fatemi MJ, Pooli AH, et al. Closure of palatal fistula with buccal fat pad flap[J]. Int J Oral Maxillofac Surg, 2011, 40(3):250-254.

[19] Sohail M, Bashir MM, Khan FA, et al. Comparison of clinical outcome of facial artery myomucosal flap and tongue flap for closure of large anterior palatal fistulas[J]. J Craniofac Surg, 2016, 27(6):1465-1468.

[20] Shetty R, Lamba S, Gupta AK. Role of facial artery musculomucosal flap in large and recurrent palatal fistulae[J]. Cleft Palate Craniofac J, 2013, 50(6):730-733.[PubMed]

[21] Rahpeyma A, Khajehahmadi S. Inferior turbinate flap for nasal-side closure of palatal fistula in cleft patients: technical note[J]. Plast Reconstr Surg Glob Open, 2014, 2(12): e265.

[22] Rossell-Perry P, Arrascue HM. The nasal artery musculomucosal cutaneous flap in difficult palatal fistula closure[J]. Craniomaxillofac Trauma Reconstr, 2012, 5(3):175-184.

[23] Huang YH, Lai CS, Lin SD, et al. Angular artery cutaneous flap for reconstruction of difficult oronasal fistulas[J]. Ann Plast Surg, 2011, 67(6): 597-599.

[24] Erdenetsogt J, Ayanga GN, Tserendulam D, et al. The closure of postpalatoplasty fistula with local turn-down flap[J]. Ann Maxillofac Surg, 2015, 5(2):271-273.

[25] Vaaka P, Donga SK, Ganapathi AK, et al. Suction cup induced palatal fistula: surgical closure by palatal rotational flap[J]. Ann Med Health Sci Res, 2016, 6(2): 129-132.

[26] Bénateau H, Traoré H, Gilliot B, et al. Repair of palatal fistulae in cleft patients[J]. Rev Stomatol Chir Maxillofac, 2011, 112(3):139-144.

[27] Anani RA, Aly AM. Closure of palatal fistula with local double-breasted mucoperiosteal flaps[J]. J Plast Reconstr Aesthet Surg, 2012, 65(9):e237-e240.

[28] Freda N, Rauso R, Curinga G, et al. Easy closure of anterior palatal fistula with local flaps[J]. J Craniofac Surg, 2010, 21(1):229-232.

[29] Zemann W, Kruse AL, Lüebbers HT, et al. Microvascular tissue transfer in cleft palate patients: advocacy of the prelaminated radial free forearm flap[J]. J Craniofac Surg, 2011, 22(6):2006-2010.[PubMed]

[30] Acartürk TO. Free segmental vastus lateralis muscle flap for reconstruction of recalcitrant defects of the cleft hard palate[J]. J Reconstr Microsurg, 2012, 28(8):509-514.[PubMed]

[31] Pribaz JJ, Singh M, Stephens W, et al. Osteocutaneous second-toe free flap as alternative option for repair of anterior oronasal fistula: long-term results in selected patients[J]. J Craniofac Surg, 2016, 27(6):1486-1488.[PubMed]

[32] Cavadas PC, Pérez-Espadero A, Rubí O?觡a CG, et al. Prelaminated fascia lata free flap for oronasal fistula reconstruction[J]. Plast Reconstr Surg Glob Open, 2017, 5(3):e1262.

[33] Rohleder NH, Loeffelbein DJ, Feistl W, et al. Repair of oronasal fistulae by interposition of multilayered amniotic membrane allograft[J]. Plast Reconstr Surg, 2013, 132(1): 172-181.

[34] Reddy GS, Reddy GV, Sree PK, et al. Membrane assisted palatal fistula closure in a cleft palate patient: A novel technique[J]. J Clin Diagn Res, 2016, 10(3):ZD22-ZD24.

[35] Richardson S, Hoyt JS, Khosla RK, et al. Use of regenerative tissue matrix as an oral layer for the closure of recalcitrant anterior palatal fistulae: a pilot study[J]. J Korean Assoc Oral Maxillofac Surg, 2016, 42(2): 77-83.

[36] Atherton DD, Boorman JG. Use of a purified collagen membrane to aid closure of palatal fistulae[J]. J Plast Reconstr Aesthet Surg, 2016, 69(7):1003-1007.

Please choose a citation manager

Content to export