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Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology
Year : 2018, Volume : 4, Issue : 2
First page : ( 118) Last page : ( 120)
Print ISSN : 2395-6186. Online ISSN : 2395-6194.
Article DOI : 10.18231/2395-6194.2018.0028

Single layer anteriorly based tongue flap for extensive palatal cleft-A case report

Tiwari Rahul1,*, Mathew Philip2, Jose Yasmin3, Roy Bhaskar4, Sehrawat Kritika5

1Fellow, Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala

2HOD, Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala

3Clinical Observer, Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala

4PG Student, KVG Dental College and Hospital, Sullia, D.K, Karnataka

5PG Student, Sudha Rustagi Dental College and Research Centre, Faridabad, Haryana, India

*Corresponding Author: Email: drrahulvctiwari@gmail.com

Online published on 3 January, 2019.

Abstract

The most widely recognized difficulty of a repaired congenital fissure is palatal fistula which can be seen from narrow to wide forms as derived in the published literature. Small fistulas are usually asymptomatic, but the larger ones create regurgitation of fluids in the nasal cavity and interferes the normal speech. Various options are present for the surgical management to close fistulas. Local flaps are usually used for small fistulas comparatively large fistulas are difficult to manage. Tongue flaps due to its high vascularity are region is the treatment of choice for most of the surgeons. The anteriorly based tongue fold is a sheltered and compelling strategy for conclusion of moderately extensive repetitive palatal fistula with no practical impedance of the giver site. This article portrays remaking of one such wide palatal fistula by anteriorly based tongue fold performing single layer conclusion.

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Keywords

Palatal fistula, Tongue flap, Cleft palate, Local flap.

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