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Repair of cleft palate oronasal fistulae with the buccinator mucosal island flap

Authors :
Dennis J. Hurwitz
Steven L. Bernard
Source :
Operative Techniques in Plastic and Reconstructive Surgery. 2:270-274
Publication Year :
1995
Publisher :
Elsevier BV, 1995.

Abstract

In patients with cleft lip and palate, large oronasal fistulae (ONF) are formidable but rare reconstructive problems. There are many effective techniques for local flap closure of small fistulae, but large hard palate fistulae are generally closed with two-stage tongue flaps. Instead, we propose the selective use of the buccinator mucosal island flap (BMIF) based on the facial artery. We have used the flap with success for a variety of etiologies. In this article, we describe the surgical anatomy and technique for the BMIF as it applies to large ONFs for failed cleft palate repair. A representative, previously unpublished case in an adult with bilateral cleft lip and palate is presented in detail.

Details

ISSN :
10710949
Volume :
2
Database :
OpenAIRE
Journal :
Operative Techniques in Plastic and Reconstructive Surgery
Accession number :
edsair.doi...........b2ecd0d5abae7def6e90845dd3252796
Full Text :
https://doi.org/10.1016/s1071-0949(06)80045-4