Three-layer oronasal fistula repair with sandwiched mastoid fascia graft

The Journal of Craniofacial Surgery
Gökhan TunçbilekEmin M Mavili

Abstract

Oronasal fistula can cause speech problems, hearing loss, velopharyngeal insufficiency, and social problems related with fetor oris and oronasal fluid leakage. The purpose of this study was to achieve 3-layer closure with autogenous mastoid fascia graft in a group of patients with recalcitrant oronasal fistulas.Sixteen patients, aged between 2 and 56 years (mean, 13.9 y), with recalcitrant palatal fistula were operated on and included into the study in a tertiary clinic. Nine patients had previous fistula repairs. The patients' mean follow-up period was 6.8 months.Fistula closure was obtained in 14 of 16 patients. All 2 failures had type IV + V fistulas according to Pittsburgh Classification. A 3-layer technique for the closure of fistulas with autogenous mastoid fascia graft allows three-dimensional repair of the defect without tension. Using mastoid fascia via postauricular sulcus incision is a good alternative regarding hiding incision scars and not requiring intraoperative repositioning.

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Citations

Dec 10, 2013·International Journal of Pediatric Otorhinolaryngology·Ryan WintersHugo St Hilaire
Jun 29, 2013·Plastic and Reconstructive Surgery·Nils H RohlederMarco R Kesting
Sep 17, 2013·The Journal of Craniofacial Surgery·Dimosthenis IgoumenakisMichael Mezitis
Dec 30, 2014·International Journal of Pediatric Otorhinolaryngology·Haidong LiTao Song
Dec 30, 2016·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Thomas J SitzmanUNKNOWN Americleft Task Force Surgeon Subgroup
Oct 15, 2019·The Journal of Craniofacial Surgery·Rafael DenadaiCassio Eduardo Raposo-Amaral
Sep 14, 2016·Plastic and Reconstructive Surgery. Global Open·Abdulla K AlsalmanFatimah Jawad Almugarrab
Sep 9, 2016·The Journal of Craniofacial Surgery·Orhan OzturanBayram Veyseller
May 1, 2018·Plastic and Reconstructive Surgery. Global Open·Omri EmodiAdi Rachmiel

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