Posteriorly based lateral tongue flap for reconstruction of large palatal-alveolar fistulas in cleft patients
Identifieur interne : 000608 ( Pmc/Curation ); précédent : 000607; suivant : 000609Posteriorly based lateral tongue flap for reconstruction of large palatal-alveolar fistulas in cleft patients
Auteurs : Amin Rahpeyma [Iran] ; Saeedeh Khajehahmadi [Iran]Source :
- Annals of Maxillofacial Surgery [ 2231-0746 ] ; 2015.
Abstract
Large palatal fistula in cleft patients is a difficult situation, especially with previous multiple surgeries, which have led to severe scars in the palatal mucosa. Tongue flaps are useful aids in such situations.
Seven cleft patients who were reconstructed by posteriorly based lateral tongue flap between 2005 and 2012 were studied. Variables such as flap-ability to close the fistula, remaining tongue shape at least 1 year after operation, and speech improvement (patients’ self-assessment) were evaluated.
Age range of the patients was 14‒45 years. The male-to-female ratio was 2/7. Posteriorly based lateral tongue flap effectively closed the large fistula in 6/7 of patients. The largest dimensions of fistula closed by this flap was 5 cm × 1.5 cm. Follow-up of 2‒7 years showed that the tongue never returned to the original size and remained asymmetrical. In addition, the nasal speech did not improve dramatically after the closure of large palatal/alveolar fistulas in this age group.
Posteriorly based lateral tongue flap is an effective method to solve the problem of large palatal fistulas in adult cleft patients. The most useful indication for this flap is a large longitudinal palatal fistula, extending to the alveolar process. Asymmetrical tongue shape after surgery is the rule and speech improvement depends on patient's age and location of fistula.
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DOI: 10.4103/2231-0746.175767
PubMed: 26981466
PubMed Central: 4772556
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Posteriorly based lateral tongue flap for reconstruction of large palatal-alveolar fistulas in cleft patients</title><author><name sortKey="Rahpeyma, Amin" sort="Rahpeyma, Amin" uniqKey="Rahpeyma A" first="Amin" last="Rahpeyma">Amin Rahpeyma</name><affiliation wicri:level="1"><nlm:aff id="aff1">Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea></affiliation></author><author><name sortKey="Khajehahmadi, Saeedeh" sort="Khajehahmadi, Saeedeh" uniqKey="Khajehahmadi S" first="Saeedeh" last="Khajehahmadi">Saeedeh Khajehahmadi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26981466</idno><idno type="pmc">4772556</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772556</idno><idno type="RBID">PMC:4772556</idno><idno type="doi">10.4103/2231-0746.175767</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000608</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000608</idno><idno type="wicri:Area/Pmc/Curation">000608</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000608</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Posteriorly based lateral tongue flap for reconstruction of large palatal-alveolar fistulas in cleft patients</title><author><name sortKey="Rahpeyma, Amin" sort="Rahpeyma, Amin" uniqKey="Rahpeyma A" first="Amin" last="Rahpeyma">Amin Rahpeyma</name><affiliation wicri:level="1"><nlm:aff id="aff1">Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea></affiliation></author><author><name sortKey="Khajehahmadi, Saeedeh" sort="Khajehahmadi, Saeedeh" uniqKey="Khajehahmadi S" first="Saeedeh" last="Khajehahmadi">Saeedeh Khajehahmadi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea></affiliation></author></analytic><series><title level="j">Annals of Maxillofacial Surgery</title><idno type="ISSN">2231-0746</idno><idno type="eISSN">2249-3816</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Large palatal fistula in cleft patients is a difficult situation, especially with previous multiple surgeries, which have led to severe scars in the palatal mucosa. Tongue flaps are useful aids in such situations.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Seven cleft patients who were reconstructed by posteriorly based lateral tongue flap between 2005 and 2012 were studied. Variables such as flap-ability to close the fistula, remaining tongue shape at least 1 year after operation, and speech improvement (patients’ self-assessment) were evaluated.</p></sec><sec id="st3"><title>Results:</title><p>Age range of the patients was 14‒45 years. The male-to-female ratio was 2/7. Posteriorly based lateral tongue flap effectively closed the large fistula in 6/7 of patients. The largest dimensions of fistula closed by this flap was 5 cm × 1.5 cm. Follow-up of 2‒7 years showed that the tongue never returned to the original size and remained asymmetrical. In addition, the nasal speech did not improve dramatically after the closure of large palatal/alveolar fistulas in this age group.</p></sec><sec id="st4"><title>Conclusion:</title><p>Posteriorly based lateral tongue flap is an effective method to solve the problem of large palatal fistulas in adult cleft patients. The most useful indication for this flap is a large longitudinal palatal fistula, extending to the alveolar process. Asymmetrical tongue shape after surgery is the rule and speech improvement depends on patient's age and location of fistula.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Murthy, J" uniqKey="Murthy J">J Murthy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Benateau, H" uniqKey="Benateau H">H Bénateau</name></author><author><name sortKey="Traore, H" uniqKey="Traore H">H Traoré</name></author><author><name sortKey="Gilliot, B" uniqKey="Gilliot B">B Gilliot</name></author><author><name sortKey="Taupin, A" uniqKey="Taupin A">A Taupin</name></author><author><name sortKey="Ory, L" uniqKey="Ory L">L Ory</name></author><author><name sortKey="Guillou Jamard, Mr" uniqKey="Guillou Jamard M">MR Guillou Jamard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Charan Babu, Hs" uniqKey="Charan Babu H">HS Charan Babu</name></author><author><name sortKey="Bhagvandas 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Maxillofac Surg</journal-id><journal-id journal-id-type="iso-abbrev">Ann Maxillofac Surg</journal-id><journal-id journal-id-type="publisher-id">AMS</journal-id><journal-title-group><journal-title>Annals of Maxillofacial Surgery</journal-title></journal-title-group><issn pub-type="ppub">2231-0746</issn><issn pub-type="epub">2249-3816</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26981466</article-id><article-id pub-id-type="pmc">4772556</article-id><article-id pub-id-type="publisher-id">AMS-5-174</article-id><article-id pub-id-type="doi">10.4103/2231-0746.175767</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article - Retrospective Study</subject></subj-group></article-categories><title-group><article-title>Posteriorly based lateral tongue flap for reconstruction of large palatal-alveolar fistulas in cleft patients</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Rahpeyma</surname><given-names>Amin</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Khajehahmadi</surname><given-names>Saeedeh</given-names></name><xref ref-type="aff" rid="aff2">1</xref><xref ref-type="corresp" rid="cor1"></xref></contrib></contrib-group><aff id="aff1">Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran</aff><aff id="aff2"><label>1</label>Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran</aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Dr. Saeedeh Khajehahmadi, Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, P. O. Box: 91735-984, Vakilabad Blvd, Mashhad, Iran. E-mail: <email xlink:href="khajehahmadis@mums.ac.ir">khajehahmadis@mums.ac.ir</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jul-Dec</season><year>2015</year></pub-date><volume>5</volume><issue>2</issue><fpage>174</fpage><lpage>178</lpage><permissions><copyright-statement>Copyright: © 2015 Annals of Maxillofacial Surgery</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p></license></permissions><abstract><sec id="st1"><title>Background:</title><p>Large palatal fistula in cleft patients is a difficult situation, especially with previous multiple surgeries, which have led to severe scars in the palatal mucosa. Tongue flaps are useful aids in such situations.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Seven cleft patients who were reconstructed by posteriorly based lateral tongue flap between 2005 and 2012 were studied. Variables such as flap-ability to close the fistula, remaining tongue shape at least 1 year after operation, and speech improvement (patients’ self-assessment) were evaluated.</p></sec><sec id="st3"><title>Results:</title><p>Age range of the patients was 14‒45 years. The male-to-female ratio was 2/7. Posteriorly based lateral tongue flap effectively closed the large fistula in 6/7 of patients. The largest dimensions of fistula closed by this flap was 5 cm × 1.5 cm. Follow-up of 2‒7 years showed that the tongue never returned to the original size and remained asymmetrical. In addition, the nasal speech did not improve dramatically after the closure of large palatal/alveolar fistulas in this age group.</p></sec><sec id="st4"><title>Conclusion:</title><p>Posteriorly based lateral tongue flap is an effective method to solve the problem of large palatal fistulas in adult cleft patients. The most useful indication for this flap is a large longitudinal palatal fistula, extending to the alveolar process. Asymmetrical tongue shape after surgery is the rule and speech improvement depends on patient's age and location of fistula.</p></sec></abstract><kwd-group><kwd>Palatal fistula</kwd><kwd>reconstruction</kwd><kwd>tongue flap</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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