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Titolo:
Two-stage reconstruction of bilateral alveolar cleft using Y-shaped anterior-based tongue flap and iliac bone graft
Autore:
Kim, MJ; Lee, JH; Choi, JY; Kang, N; Lee, JH; Choi, WJ;
Indirizzi:
Seoul Natl Univ Hosp, Dept Oral & Maxillofacial Surg, Seoul 110749, South Korea Seoul Natl Univ Hosp Seoul South Korea 110749 Seoul 110749, South Korea Seoul Natl Univ, Coll Dent, Dept Oral & Maxillofacial Surg, Seoul, South Korea Seoul Natl Univ Seoul South Korea axillofacial Surg, Seoul, South Korea
Titolo Testata:
CLEFT PALATE-CRANIOFACIAL JOURNAL
fascicolo: 5, volume: 38, anno: 2001,
pagine: 432 - 437
SICI:
1055-6656(200109)38:5<432:TROBAC>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
PALATAL FISTULAS; CLOSURE; REPAIR; DEFECTS;
Keywords:
bilateral alveolar cleft; iliac bone graft; tongue flap;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Lee, JH Seoul Natl Univ Hosp, Dept Oral & Maxillofacial Surg, 28 Yeon Gun Dong, Seoul 110749, South Korea Seoul Natl Univ Hosp 28 Yeon Gun Dong Seoul South Korea 110749 ea
Citazione:
M.J. Kim et al., "Two-stage reconstruction of bilateral alveolar cleft using Y-shaped anterior-based tongue flap and iliac bone graft", CLEF PAL-CR, 38(5), 2001, pp. 432-437

Abstract

Objective: When an alveolar cleft is too large to close with adjacent mucobuccal flaps or large secondary fistula following a primary bilateral palatoplasty exists, a one-stage procedure for bone grafting becomes challenging. In such a case, we have used the tongue flap to repair the fistula and cleft alveolus followed by bone grafting to the cleft defect performed several months later. The purpose of this article is to report on our experienceswith the use of an anteriorly based Y-shaped tongue flap to fit the palatal and labial alveolar defects and on the ultimate result of the bone graft. Patients: A series of 14 patients were treated with this approach from January 1994 to December 1998. The average age of the patients was 15.8 years (range 5 to 28 years). The mean period of follow-up following the second stage bone graft operation was 45.9 months (range 9 to 68 months). In 9 of the 14 patients, the long-fork type of a Y-shaped tongue flap was used for extended coverage of the labial-side alveolar defects with the palatal fistula; in the remaining patients, the short-forked design was used. Results: All patients demonstrated a good clinical result after the initial repair of cleft alveolus and palatal fistula. There was no fistula recurrence, although partial necrosis of distal margin in long-forked tongue flapoccurred in one patient. Furthermore, the bone graft, which was performed an average of 8 months after the tongue flap repair, was always successful. Occasionally, transferred tongue tissue bulging interfered with the hygienic care of nearby teeth; however, these problems could be solved with proper contour-plasty performed afterward. No donor site complications such as sensory disturbance, change in taste, limitations in tongue movement, normalspeech impairments, or tongue disfigurement were encountered. Conclusion: This two-stage reconstruction of a bilateral cleft alveolus using a Y-shaped tongue flap and iliac bone graft was very successful. It maybe indicated for a bilateral cleft alveolus patient in which the direct closure of the cleft defect with adjacent tissue or the buccal flap is not easy because of scarred fibrotic mucosa and accompanied residual palatal fistula.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/10/20 alle ore 15:04:50