The Deepithelialized Dorsal Tongue Flap for Reconstruction of Anterior Palatal Fistulae: Literature Review and Presentation of Our Experience in Egypt

Objective The purpose of this study was to present our experience with the closure of challenging palatal fistulae using the deepithelialized dorsal anterior tongue flap. We highlight the efficacy of suturing the tip of the tongue flap to the nasal septum for prevention of flap detachment. Design Prospective analysis of cleft patients with anterior palatal fistulae repaired by deepithelialized dorsal anterior tongue flap. Setting Institutional center. Patients/Participants A total of 30 patients with anterior palatal fistulae in the setting of previous cleft palate or fistula repair. Interventions Deepithelialized dorsal anterior tongue flap for treatment of anterior palatal fistulae. Outcome Measures Patients had repair using deepithelialized dorsal anterior tongue flap between 2011 and 2014. Patients’ photographs and clinical records were collected. The technique of flap harvesting and method of securing it in its position are described in this study. Results Patients were followed up over a mean period of 13.8 months to check flap viability, competent repair, and donor site function and aesthetics. All patients showed uneventful healing without complications. Conclusions This technique offered a secure method of palatal fistulae reconstruction. Further research is needed to show this technique's advantages and drawbacks.