Saudi Journal of Oral and Dental Research (SJODR)
Volume-4 | Issue-06 | 325-328
Case Report
Tounge Flap for Closure of Giant Anterior Palatal Fistulas
Dr. Rahul Vinay Chandra Tiwari, Dr. Ganapati Anil Kumar, Dr. Philip Mathew, Dr. Rahul Anand, Dr. Paul Mathai, Dr. V K Sasank Kuntamukkula
Published : June 18, 2019
Abstract
Reconstruction of defects of the oral cavity can be challenging. The armamentarium of the reconstructive surgeon
includes local and regional flaps as well as free tissue transfer. The anatomy, location, and size of the defect guide the
surgeon in treatment planning to determine the type of flap best suited for a specific reconstruction. Despite the enhanced
techniques of repair of cleft palate, fistula occurrence is still a possibility either due to an inaccuracy in the surgical
technique or due to the meagre tissue quality of the patient. Though usually the fistula closure is established by use of
local flaps but at times the site and the size of the fistula make use of local flaps for its repair a remote possibility.
Tongue flap can be the most versatile flap because of its central position in the floor of mouth good vascularity makes it a
choice of flap for closure of anterior palatal fistulae than any other tissues. We are presenting a case report regarding
closure of anterior palatal fistula with dorsal tongue flap.