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Repair of oronasal fistula with split-skin graft on nasal side and mucosal flap on oral side.
J Craniofac Surg. 2007 Nov; 18(6):1408-9.JC

Abstract

We repaired a case with a huge oronasal fistula using split thickness skin graft (STSG) on nasal side and mucosal flap on oral side. A 21-year-old man presented an oronasal fistula of the hard palate, measuring 2.0 x 1.2 cm. The fistula was 2 cm posterior to the incisive foramen. The scar tissue around the fistula was unhealthy. The defective nasal side was floored with a skin graft 1.5 cm x 2.0 cm in size and 12/1000 in thickness. The skin graft was sutured around to the fistula edge with 4-0 chromic suture. Donor site was a lateral aspect of the thigh. A laterally based oral mucosal flap, 2.5 x 2 cm, was designed, raised, and transposed to the defect. The secondary defect was covered with buccal mucosal graft. The oral mucosal flap was viable, the skin graft took, and no sign of recurrence of fistula was noted until one month postoperative. This method can be an alternative in repair of the oronasal defect when any local tissue for repair is not available or sufficient.

Authors+Show Affiliations

Department of Plastic Surgery, Inha University College of Medicine, Incheon, Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17993890

Citation

Lee, Se Il, et al. "Repair of Oronasal Fistula With Split-skin Graft On Nasal Side and Mucosal Flap On Oral Side." The Journal of Craniofacial Surgery, vol. 18, no. 6, 2007, pp. 1408-9.
Lee SI, Kim DH, Hwang K. Repair of oronasal fistula with split-skin graft on nasal side and mucosal flap on oral side. J Craniofac Surg. 2007;18(6):1408-9.
Lee, S. I., Kim, D. H., & Hwang, K. (2007). Repair of oronasal fistula with split-skin graft on nasal side and mucosal flap on oral side. The Journal of Craniofacial Surgery, 18(6), 1408-9.
Lee SI, Kim DH, Hwang K. Repair of Oronasal Fistula With Split-skin Graft On Nasal Side and Mucosal Flap On Oral Side. J Craniofac Surg. 2007;18(6):1408-9. PubMed PMID: 17993890.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Repair of oronasal fistula with split-skin graft on nasal side and mucosal flap on oral side. AU - Lee,Se Il, AU - Kim,Dong Hyun, AU - Hwang,Kun, PY - 2007/11/13/pubmed PY - 2008/2/20/medline PY - 2007/11/13/entrez SP - 1408 EP - 9 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 18 IS - 6 N2 - We repaired a case with a huge oronasal fistula using split thickness skin graft (STSG) on nasal side and mucosal flap on oral side. A 21-year-old man presented an oronasal fistula of the hard palate, measuring 2.0 x 1.2 cm. The fistula was 2 cm posterior to the incisive foramen. The scar tissue around the fistula was unhealthy. The defective nasal side was floored with a skin graft 1.5 cm x 2.0 cm in size and 12/1000 in thickness. The skin graft was sutured around to the fistula edge with 4-0 chromic suture. Donor site was a lateral aspect of the thigh. A laterally based oral mucosal flap, 2.5 x 2 cm, was designed, raised, and transposed to the defect. The secondary defect was covered with buccal mucosal graft. The oral mucosal flap was viable, the skin graft took, and no sign of recurrence of fistula was noted until one month postoperative. This method can be an alternative in repair of the oronasal defect when any local tissue for repair is not available or sufficient. SN - 1049-2275 UR - https://www.unboundmedicine.com/medline/citation/17993890/Repair_of_oronasal_fistula_with_split_skin_graft_on_nasal_side_and_mucosal_flap_on_oral_side_ L2 - https://doi.org/10.1097/scs.0b013e3181534a63 DB - PRIME DP - Unbound Medicine ER -