Buccinator flap as a method for palatal fistula and VPI management

Advanced Biomedical Research
Hosein AbdalyKamran Babaei

Abstract

Secondary palatal fistula and velopharyngeal insufficiency (VPI) are two major complications of palatoplasty. Various methods have been introduced for surgical repair of these complications; however, most of them are associated with a high recurrence rate and morbidity. This study was designed to evaluate the use of the buccinator myomucosal flap in the reconstruction of palatal fistula and velopharyngeal insufficiency following primary palatoplasty. This study was performed on 25 patients who had either secondary palatal fistula or velopharyngeal insufficiency. Their defects were repaired by buccinator myomucosal flaps (BMFs). Patients were followed for 8 weeks and follow-up visits were arranged at 1, 2, 4, and 8 weeks after discharge. All BMFs were harvested and transposed successfully. The length of the soft palate increased 15.14 ± 1.13 mm postoperatively. One patient (4%) had flap dehiscence 6 days after the operation with no flap ischemia or necrosis. Another patient (4%) experienced recurrence of the palatal fistula with marginal necrosis of the BMF 6 weeks after the operation. Otherwise, no case of fistula recurrence, infection, flap ischemia or necrosis and donor-site morbidity was observed during follow-up sessions. T...Continue Reading

Citations

Sep 25, 2017·Oral and Maxillofacial Surgery·Olindo MassarelliGiacomo De Riu
May 18, 2018·The Journal of Craniofacial Surgery·Mohammad-Esmaiil HassaniMohammad Khakzad
Dec 8, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Bronson WessingerRyan H Belcher
Dec 29, 2020·Plastic and Reconstructive Surgery·Christopher L KalmarJordan W Swanson

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