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KMID : 0358819860130010085
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1986 Volume.13 No. 1 p.85 ~ p.91
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RECONSTRUCTION OF LARGE PALATAL FISTULA USING TONGUE FLAP
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Jeong Seong-Heon
Suh Chang-Deok
Kim Seok-Kwun
Kim Sung-Soo
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Abstract
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Palatal fistula may occur after palatoplasty, although its incidence was markedly decreased with the advent of operative technique, it may caused by inadequate approximation, necrosis of the flap, tension, trauma. etc., and produce many problems including the speech disturbance and embarassing escape into the nose of fluid and food.
Most of the palatal fistulas develop along the suture line in a small size, so they can be corrected easily by palatoplasty or various flap surgery using the local mucoperiosteum. But it is very difficult to repair if the fistula is very large or located anterior to the hard palate. Buccal mucosal or vestibular mucosal flaps may settle the problems but there are many limitations on the size and location. And other extraoral distant flaps need not only many surgical steps but also cause inconvinience. But tongue flap profides an excellent method for the repair of large anterior palatal fistula because of high mobility and rich blood supply and low donor site morbidity.
We treated the two cases of large palatal fistulas using the distally based dorsal tongue flap and report with a review of articles.
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KEYWORD
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