Reynaldos PJ, González SMÁ, Yonami PE, Longoria FKM

Language: Spanish
References: 17
Page: 59-65
PDF size: 495.27 Kb.

ABSTRACT

The oronasal fistula is an abnormal communication between the oral cavity and the nose as a later result of a surgical closure of the palatine fissure; this happens more often in the hard palate defects after the primary surgery than in the soft palate. Although the literature reports a high incidence of these defects; it is difficult to determine its true incidence. The fistula closure must wait between 4 to 6 months to be accomplished after the last attempt of the fistula closure, so healthy tissue could be formed and all inflammatory tissue could be eliminated. The tongue flap is indicated for the fistula reconstruction when the palatal defect persists on the patient, when it has excessive palatal scars and in the cases where the fistula closure has been previously unsatisfactory. This technique should only be practiced when other previous methods have had unsatisfactory results. The tongue flap offers great palate reconstruction advantages since it presents abundant tissue, excellent irrigation supplement, and it is of easy rotation. The results obtained with this technique were as expected and have been already published by other authors.

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