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Auricular Cartilage Graft, An Alternative for Bony Palatal Defect? A Case Report
Virendra Singh1, V Ashwin1, P Anbumani2
1Pandit Bhagwat Dayal Sharma Post Graduate Institute of Dental Sciences, Rohtak, India.
Summary
This case report details managing recurrent oronasal communication using an auricular cartilage graft. The minimally invasive technique resulted in successful healing and improved patient function.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Oral and Maxillofacial Surgery
Background:
- Recurrent oronasal communication can significantly impact a patient's quality of life, affecting speech and swallowing.
- Previous soft tissue palatal closure failed to resolve symptoms in this 51-year-old male patient.
Purpose of the Study:
- To present a case of recurrent oronasal communication managed with an auricular cartilage graft.
- To evaluate the efficacy and outcomes of this reconstructive approach.
Main Methods:
- A 51-year-old male with recurrent oronasal communication underwent surgery.
- The defect was reconstructed using an auricular cartilage graft and palatal mucosal closure under general anesthesia.
- The patient was followed for 2 years post-operatively.
Main Results:
- The auricular cartilage graft procedure resulted in uneventful healing.
- Significant improvement in phonation and diet was observed.
- Complete resolution of nasal regurgitation was achieved, demonstrating the graft's effectiveness.
Conclusions:
- Auricular cartilage grafting offers a less invasive yet effective solution for complex oronasal defects.
- This technique provides a double-layered closure, enhancing reconstructive outcomes.
- The successful management highlights the versatility of cartilage grafts in oronasal fistula repair.
