Closure of a Large Palatal Fistula with Maxillary Segmental Distraction Osteogenesis in a Cleft Palate Patient

Various techniques have been proposed for the repair of palatal clefts. The first surgical closure technique that should be kept in mind is the use of adjacent mucosal flaps. When the palatal cleft is too large to close with adjacent mucosal flaps, distant flaps such as from the tongue or nasolabial...

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Bibliographic Details
Published in:The Cleft palate-craniofacial journal 2007-01, Vol.44 (1), p.112-115
Main Authors: Alkan, Alper, Baş, Burcu, Özer, Mete, Bayram, Mehmet
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Cleft Palate - surgery
Deformities
Dental surgery
Dentistry
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Maxillary Diseases - surgery
Medical sciences
Mouth
Mouth Mucosa - transplantation
Non tumoral diseases
Oral Fistula - surgery
Orthodontic Space Closure
Osteogenesis, Distraction - instrumentation
Osteogenesis, Distraction - methods
Otorhinolaryngology. Stomatology
Palate, Hard - surgery
Plastic surgery
Postoperative Complications
Sinuses
Surgical Flaps
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Summary:Various techniques have been proposed for the repair of palatal clefts. The first surgical closure technique that should be kept in mind is the use of adjacent mucosal flaps. When the palatal cleft is too large to close with adjacent mucosal flaps, distant flaps such as from the tongue or nasolabial region may be considered. This report presents a cleft patient who had previously undergone an unsuccessful palatal cleft repair with a tongue flap. The size of the large palatal fistula was reduced by approximating the segments to each other with maxillary anterior segmental distraction osteogenesis to make it more manageable using conventional mucosal flaps.
ISSN:1055-6656
1545-1569
DOI:10.1597/05-195