PDF(Pubmed)
Abstract：
UNASSIGNED: The occurrence of a palatal fistula after surgical correction in a cleft palate patient is the most common complication in cleft palate surgery. This condition might be due to poor tissue quality and vascularity, an error in the surgical technique, the size of the defect, the age of the patient, and infection.
METHODS: Three patients with fistula in the anterior and mid-palate regions asked for correction. In past history, all cases had received multiple surgical corrections, and the result showed with recurrent fistula.
CONCLUSIONS: Surgical interventions for correction of palatal fistula might be difficult as the surrounding tissue has lost its quality, especially in secondary surgery or after multiple surgical interventions. Flap taken from the tongue can be chosen as an alternative source to close the fistula based on the consideration that the tongue has a favourable position, and located as the nearest tissue directly opposite to the palatal region, and has good vascularity. The aim of this report is to show the advantages of the use a surgical template made from alumina foil to measure the size and shape of the flap in accordance with the form and size of existed fistula. The surgical template was used as a guidance during drawn the design of the flap on the surface of the tongue.
CONCLUSIONS: The use of surgical templates was very useful as guidance during the marking procedure on the surface of the tongue for designing an individual tongue flap form.
METHODS: Three patients with fistula in the anterior and mid-palate regions asked for correction. In past history, all cases had received multiple surgical corrections, and the result showed with recurrent fistula.
CONCLUSIONS: Surgical interventions for correction of palatal fistula might be difficult as the surrounding tissue has lost its quality, especially in secondary surgery or after multiple surgical interventions. Flap taken from the tongue can be chosen as an alternative source to close the fistula based on the consideration that the tongue has a favourable position, and located as the nearest tissue directly opposite to the palatal region, and has good vascularity. The aim of this report is to show the advantages of the use a surgical template made from alumina foil to measure the size and shape of the flap in accordance with the form and size of existed fistula. The surgical template was used as a guidance during drawn the design of the flap on the surface of the tongue.
CONCLUSIONS: The use of surgical templates was very useful as guidance during the marking procedure on the surface of the tongue for designing an individual tongue flap form.
摘要：
■腭裂患者手术矫正后发生腭瘘是腭裂手术中最常见的并发症。这种情况可能是由于组织质量和血管分布差，手术技术上的错误,缺陷的大小，病人的年龄,和感染。
方法：3例前腭和中腭瘘患者要求矫正。在过去的历史中,所有病例都接受了多次手术矫正，结果显示为复发性瘘管。
结论：修复腭瘘的手术干预可能很困难，因为周围组织已经失去了质量，特别是在二次手术或多次手术干预后。基于舌头具有有利位置的考虑，可以选择从舌头获取的皮瓣作为关闭瘘管的替代来源。位于与腭区域直接相对的最近组织，并且有很好的血管分布。本报告的目的是显示使用由铝箔制成的手术模板根据存在的瘘管的形式和大小测量皮瓣的大小和形状的优点。在舌头表面上绘制皮瓣的设计过程中，将手术模板用作指导。
结论：在舌表面标记过程中，使用手术模板作为指导非常有用，用于设计单个舌瓣形式。
方法：3例前腭和中腭瘘患者要求矫正。在过去的历史中,所有病例都接受了多次手术矫正，结果显示为复发性瘘管。
结论：修复腭瘘的手术干预可能很困难，因为周围组织已经失去了质量，特别是在二次手术或多次手术干预后。基于舌头具有有利位置的考虑，可以选择从舌头获取的皮瓣作为关闭瘘管的替代来源。位于与腭区域直接相对的最近组织，并且有很好的血管分布。本报告的目的是显示使用由铝箔制成的手术模板根据存在的瘘管的形式和大小测量皮瓣的大小和形状的优点。在舌头表面上绘制皮瓣的设计过程中，将手术模板用作指导。
结论：在舌表面标记过程中，使用手术模板作为指导非常有用，用于设计单个舌瓣形式。
