Clinical effect of reconstruction of large anterior palatal fistulae by anteriorly based dorsal tongue flaps
Journal Title: 口腔疾病防治 - Year 2019, Vol 27, Issue 3
Abstract
Objective To evaluate the feasibility and outcomes of the reconstruction of large anterior palatal fistulae by anteriorly based dorsal tongue flaps to provide a rational reference of anteriorly based dorsal tongue flaps for clinicians.Methods Five patients with anterior hernia had a defect range of 1.0 cm × 1.0 cm to 1.5 cm × 2.0 cm, and the anterior tongue was 1.3 cm × 3.5 cm to 2.0 cm × 3.5 cm. The defects were all repaired with anteriorly based dorsal tongue flaps. The clinical efficacy was evaluated after operation, including whether the mucosal flap was infected, whether there was any shedding before the pedicle, and whether there was any perforation after operation. Thereafter, patients who were satisfied with their chewing, swallowing, speech function and appearance were followed up.Results All patients underwent successful reconstruction of palatal defects by anteriorly based tongue flaps, and no case of spontaneous detachment of the tongue flap occurred. Patients with palatal fistulae were followed up for 16-28 months, and no recurrence was encountered. The operation had no effect on the speech, agitation and swallowing function of the tongue, and patients were satisfied with the appearance.Conclusion The dorsal lingual mucosal flap pedicled with the anterior tongue is a safe and reliable method for repairing large anterior palatal fistula.
Authors and Affiliations
HUANG Zhuoshan, WEN Zuozhen, FANG Silian, ZHONG Jianglong, CHEN Weiliang
Keywords
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- EP ID EP662926
- DOI 10.12016/j.issn.2096-1456.2019.03.008
- Views 179
- Downloads 0
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