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Single-layer Closure with Tongue Flap for Palatal Fistula in Cleft Palate Patients
Abdulla K Alsalman1, Emran A Algadiem1, Mufeed Saeed Alwabari1
1Plastic Surgery Department; Saudi Board Resident of Plastic Surgery; Saudi Board Resident of General Surgery; and Plastic Surgery Intern, King Fahad Hospital, Hofuf, Saudi Arabia.
Background:
Tongue flap is a good option to close a complicated palatal fistula in cleft patients. Most surgeons advocate a double-layer closure to decrease the recurrence rates. In this study, we have reported our experience with a modified single-layer closure with tongue flap in cleft patients.
Method:
All cases done by a single surgeon using this modified technique in a period of 10 years were retrospectively reviewed. A thorough description of this technique is also provided in the study.
Results:
Only 5 cases were operated on using this technique. The success rate of all these cases was 100%, with no recurrence of fistula and few complications.
Conclusions:
This technique provides a way to avoid nasal layer closure in cases where nasal layer is difficult or impossible to close. It also limits the need for a second flap for nasal layer closure.
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