Prelaminated Fascia Lata Free Flap for Oronasal Fistula Reconstruction

Oronasal fistulae are frequently symptomatic due to rhinolalia and regurgitation of solid food and liquids through the palate.¹ When asymptomatic, fistulae can be managed with conservative therapies. Local flaps are useful to close small fistulae but cannot be used in bigger ones and cases with bad-quality surrounding tissues. Ideally, a thin double-layer mucosal tissue is required, but there are no suitable donor sites for this tissue in the human body. We report a palate fistula reconstruction with prelaminated fascia lata free flap.