PDF(Pubmed)
Abstract：
OBJECTIVE: Oronasal fistulas are common sequelae following cleft lip and palate surgery and can significantly impact a patient\'s quality of life. They result from various factors, including surgical techniques, tissue management, and patient-specific factors. This case report explores the modern approach to oronasal fistula closure using periodontal plastic surgery principles.
METHODS: The report presents two cases of patients with oronasal fistulas due to previous maxillofacial surgical intervention. These patients underwent microsurgical procedures that involved partial flap thickness preparation of the fistula areas, the use of connective tissue grafts from the palate, and meticulous suturing techniques to ensure graft integrity. The procedures were performed in stages, and postoperative care was provided.
RESULTS: Both cases demonstrated successful fistula closure and graft survival. The patients reported improvements in breathing, speech, aesthetics, and quality of life. The second case also included guided bone regeneration and implant placement.
CONCLUSIONS: Oronasal fistulas resulting from maxillofacial surgery can be effectively treated using periodontal plastic surgery techniques, significantly improving patients\' quality of life and aesthetic outcomes. This approach represents a valuable addition to the existing repertoire of oronasal fistula closure methods.
METHODS: The report presents two cases of patients with oronasal fistulas due to previous maxillofacial surgical intervention. These patients underwent microsurgical procedures that involved partial flap thickness preparation of the fistula areas, the use of connective tissue grafts from the palate, and meticulous suturing techniques to ensure graft integrity. The procedures were performed in stages, and postoperative care was provided.
RESULTS: Both cases demonstrated successful fistula closure and graft survival. The patients reported improvements in breathing, speech, aesthetics, and quality of life. The second case also included guided bone regeneration and implant placement.
CONCLUSIONS: Oronasal fistulas resulting from maxillofacial surgery can be effectively treated using periodontal plastic surgery techniques, significantly improving patients\' quality of life and aesthetic outcomes. This approach represents a valuable addition to the existing repertoire of oronasal fistula closure methods.
摘要：
目的：口鼻瘘是唇腭裂术后常见的后遗症，可显著影响患者的生活质量。它们是由各种因素造成的，包括手术技术,组织管理，和患者特定因素。本病例报告探讨了使用牙周整形外科原理进行口鼻瘘闭合的现代方法。
方法：该报告介绍了2例因先前的颌面外科手术而导致口鼻瘘的患者。这些患者接受了显微外科手术，包括瘘管区域的部分皮瓣厚度准备，使用来自腭的结缔组织移植物，和细致的缝合技术，以确保移植物的完整性。这些程序是分阶段进行的，并提供术后护理。
结果：两例病例均显示成功的瘘管闭合和移植物存活。患者报告呼吸有所改善，演讲,美学，和生活质量。第二种情况还包括引导骨再生和植入物放置。
结论：使用牙周整形外科技术可以有效治疗颌面手术引起的口鼻瘘，显着改善患者的生活质量和美学结果。这种方法代表了对现有的口鼻瘘闭合方法的有价值的补充。
方法：该报告介绍了2例因先前的颌面外科手术而导致口鼻瘘的患者。这些患者接受了显微外科手术，包括瘘管区域的部分皮瓣厚度准备，使用来自腭的结缔组织移植物，和细致的缝合技术，以确保移植物的完整性。这些程序是分阶段进行的，并提供术后护理。
结果：两例病例均显示成功的瘘管闭合和移植物存活。患者报告呼吸有所改善，演讲,美学，和生活质量。第二种情况还包括引导骨再生和植入物放置。
结论：使用牙周整形外科技术可以有效治疗颌面手术引起的口鼻瘘，显着改善患者的生活质量和美学结果。这种方法代表了对现有的口鼻瘘闭合方法的有价值的补充。
