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Pubmed for Handhelds

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  • Title: Closure of palatal fistula with local double-breasted mucoperiosteal flaps.
    Author: Anani RA, Aly AM.
    Journal: J Plast Reconstr Aesthet Surg; 2012 Sep; 65(9):e237-40. PubMed ID: 22391465.
    Abstract:
    INTRODUCTION AND OBJECTIVES: Despite improvement to surgical techniques of cleft-palate surgery, palatal fistulas remain a challenge. Many surgical procedures have been described for repair of these fistulas either by using the local tissue or by importing a new tissue from adjacent areas. In this report, we describe our technique for closure of palatal fistula using double-breasted mucoperiosteal flaps based on the greater palatine artery. PATIENTS AND METHODS: Eight patients with oronasal fistulas located in the posterior two-thirds of the hard palate following cleft-palate repair were treated by double-breasted mucoperiosteal flaps with an overlapping zone of 1-2 cm. RESULTS: All fistulas successively healed, none of our patients developed any significant postoperative bleeding, infection or fistula recurrence. CONCLUSIONS: Double breasated mucoperiostial flap is a simple successful option for correction of oronasal fistula.
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