Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Oronasal fistula reconstruction using tongue flap with simultaneous iliac bone graft: a case report

  • Da Som Kim (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital) ;
  • Yi Jun Moon (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital) ;
  • Ho Jin Park (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital) ;
  • Seung-Ha Park (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital)
  • Received : 2022.10.06
  • Accepted : 2022.11.14
  • Published : 2023.12.20
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Abstract

The ultimate goal of cleft palate repair is to achieve an intact palate with the separation of the oral and nasal cavities. However, some patients develop an oronasal fistula in the secondary palate after palatoplasty. Postoperatively, a secondary palatal oronasal fistula may develop, leading to functional problems. In this study, we describe a patient with recurrent oronasal fistula and alveolar cleft with multiple failed previous reconstructions at another clinic. The oronasal fistula and alveolar cleft were repaired using a tongue flap and an iliac bone graft, respectively. The patient demonstrated excellent clinical progress with no recurrence of the oronasal fistula at the 1-year follow-up.

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References

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