Double palatal flap for oro-nasal fistula closure

P. Pouzoulet (1) , N. Graillon (1) , L. Guyot (1) , C. Chossegros (2, 3) , J.M. Foletti (1)

1 Hôpital Nord [CHU - APHM]
2 Service de chirurgie maxillo-faciale et de stomatologie [Hôpital de la Conception - APHM]
3 LPL - Laboratoire Parole et Langage

INTRODUCTION: The management of oral fistula to the nose depends on its etiology, its size and its location. Here, we describe a simple technique, inspired by the ones initially developed by Bardach for cleft palates repair. The surgical alternatives are discussed. TECHNICAL NOTE: The double palatal flap is a simple technique, allowing closure in a single session of a central or centro-lateral palate fistula. The key of this technique is the dissection between nasal and palate mucous layers, providing a sufficient amount of laxity to close the defect without tension. DISCUSSION: The double palatal flap can cover centro-lateral palate mucosal fistulae. It provides both aesthetic and functional results in a single stage. Reliability, simplicity and quickness are its main advantages. Outcomes are usually simple; Velar insufficiency may occur, that can be corrected by speech therapy. Copyright © 2017. Published by Elsevier Masson SAS.

Mots clés: Oral fistula; Palate; Surgical flaps

Domaines: Chirurgie

P. Pouzoulet, N. Graillon, L. Guyot, C. Chossegros, J.M. Foletti. Double palatal flap for oro-nasal fistula closure. Journal of Stomatology, Oral and Maxillofacial Surgery, 2018, 119 (2), pp.164-167. ⟨10.1016/j.jormas.2017.11.008⟩. ⟨hal-02102627⟩