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V-Y two-layer repair for oronasal fistula of hard palate.
Int J Pediatr Otorhinolaryngol. 2010 Sep; 74(9):1054-7.IJ

Abstract

OBJECTIVE

Oronasal fistula represents a functional problem after cleft palate repair; its closure is technically difficult with a high recurrence rate after primary treatment. The aim of this study was to evaluate the efficacy of closure of oronasal fistula using 2 layers of oral mucoperiosteum in a V-Y manner.

METHODS

Fourteen patients were subjected for repair of their oronasal fistulas using 2 layers; the first is the oral mucoperiosteum that is elevated and inverted to close the nasal side as a hinge flap, and the second is also the oral mucoperiosteum that is elevated and sutured in a V-Y manner to close the oral side.

RESULTS

In all cases, the fistula was completely closed at first attempt, no cases developed operative or postoperative complications. Recurrence with not recorded in any case after a follow-up period of at least 12 months.

CONCLUSION

Closure of oronasal fistula of the hard palate that may develop after cleft palate repair using a two-layer closure in V-Y manner is an easy and ideal method with a high success rate.

Authors+Show Affiliations

Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt. mosabeez@yahoo.com

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20591506

Citation

Abdel-Aziz, Mosaad. "V-Y Two-layer Repair for Oronasal Fistula of Hard Palate." International Journal of Pediatric Otorhinolaryngology, vol. 74, no. 9, 2010, pp. 1054-7.
Abdel-Aziz M. V-Y two-layer repair for oronasal fistula of hard palate. Int J Pediatr Otorhinolaryngol. 2010;74(9):1054-7.
Abdel-Aziz, M. (2010). V-Y two-layer repair for oronasal fistula of hard palate. International Journal of Pediatric Otorhinolaryngology, 74(9), 1054-7. https://doi.org/10.1016/j.ijporl.2010.06.003
Abdel-Aziz M. V-Y Two-layer Repair for Oronasal Fistula of Hard Palate. Int J Pediatr Otorhinolaryngol. 2010;74(9):1054-7. PubMed PMID: 20591506.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - V-Y two-layer repair for oronasal fistula of hard palate. A1 - Abdel-Aziz,Mosaad, Y1 - 2010/07/01/ PY - 2010/03/26/received PY - 2010/06/03/revised PY - 2010/06/03/accepted PY - 2010/7/2/entrez PY - 2010/7/2/pubmed PY - 2010/12/24/medline SP - 1054 EP - 7 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 74 IS - 9 N2 - OBJECTIVE: Oronasal fistula represents a functional problem after cleft palate repair; its closure is technically difficult with a high recurrence rate after primary treatment. The aim of this study was to evaluate the efficacy of closure of oronasal fistula using 2 layers of oral mucoperiosteum in a V-Y manner. METHODS: Fourteen patients were subjected for repair of their oronasal fistulas using 2 layers; the first is the oral mucoperiosteum that is elevated and inverted to close the nasal side as a hinge flap, and the second is also the oral mucoperiosteum that is elevated and sutured in a V-Y manner to close the oral side. RESULTS: In all cases, the fistula was completely closed at first attempt, no cases developed operative or postoperative complications. Recurrence with not recorded in any case after a follow-up period of at least 12 months. CONCLUSION: Closure of oronasal fistula of the hard palate that may develop after cleft palate repair using a two-layer closure in V-Y manner is an easy and ideal method with a high success rate. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/20591506/V_Y_two_layer_repair_for_oronasal_fistula_of_hard_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(10)00270-3 DB - PRIME DP - Unbound Medicine ER -