Successfully Closing an Acquired Palatal-fistula Using a Turnover Flap from a Previously Transferred Forearm-free-flap

Successfully Closing an Acquired Palatal-fistula Using a Turnover Flap from a Previously Transferred Forearm-free-flap

Summary:. Palatal fistula between the oral and nasal cavities occurs in about 20% of palatal repairs after oncologic resection. Although healing by secondary intention may be employed as an initial strategy, persistent nonhealing symptomatic fistula necessitates intervention. Folded free flap used f...

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Main Authors: Jason Ashville, BS, Hina Panchal, MD, MPH, Evan B. Rosen, DMD, MPH, Evan Matros, MD, MMSc, MPH
Format: Article
Language:English
Published: Wolters Kluwer 2017-12-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001598
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spelling doaj-ae8fd007f20a4b8ca069b08b584bdd292020-11-24T22:02:03ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742017-12-01512e159810.1097/GOX.0000000000001598201712000-00028Successfully Closing an Acquired Palatal-fistula Using a Turnover Flap from a Previously Transferred Forearm-free-flapJason Ashville, BS0Hina Panchal, MD, MPH1Evan B. Rosen, DMD, MPH2Evan Matros, MD, MMSc, MPH3From the *Biomolecular Science, Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, New York, N.Y.; †University of Michigan, Ann Arbor, Mich.; ‡Dental Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.From the *Biomolecular Science, Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, New York, N.Y.; †University of Michigan, Ann Arbor, Mich.; ‡Dental Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.From the *Biomolecular Science, Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, New York, N.Y.; †University of Michigan, Ann Arbor, Mich.; ‡Dental Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.From the *Biomolecular Science, Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, New York, N.Y.; †University of Michigan, Ann Arbor, Mich.; ‡Dental Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.Summary:. Palatal fistula between the oral and nasal cavities occurs in about 20% of palatal repairs after oncologic resection. Although healing by secondary intention may be employed as an initial strategy, persistent nonhealing symptomatic fistula necessitates intervention. Folded free flap used for primary repair of palatectomy defects enables placement of epithelialized tissue on both the oral and nasal cavities. In case of acquired palatal fistula, a turnover flap can be easily created, based on the free margin of the folded forearm free flap to serve as a reconstructive lifeboat.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001598
collection DOAJ
language English
format Article
sources DOAJ
author Jason Ashville, BS
Hina Panchal, MD, MPH
Evan B. Rosen, DMD, MPH
Evan Matros, MD, MMSc, MPH
spellingShingle Jason Ashville, BS
Hina Panchal, MD, MPH
Evan B. Rosen, DMD, MPH
Evan Matros, MD, MMSc, MPH
Successfully Closing an Acquired Palatal-fistula Using a Turnover Flap from a Previously Transferred Forearm-free-flap
Plastic and Reconstructive Surgery, Global Open
author_facet Jason Ashville, BS
Hina Panchal, MD, MPH
Evan B. Rosen, DMD, MPH
Evan Matros, MD, MMSc, MPH
author_sort Jason Ashville, BS
title Successfully Closing an Acquired Palatal-fistula Using a Turnover Flap from a Previously Transferred Forearm-free-flap
title_short Successfully Closing an Acquired Palatal-fistula Using a Turnover Flap from a Previously Transferred Forearm-free-flap
title_full Successfully Closing an Acquired Palatal-fistula Using a Turnover Flap from a Previously Transferred Forearm-free-flap
title_fullStr Successfully Closing an Acquired Palatal-fistula Using a Turnover Flap from a Previously Transferred Forearm-free-flap
title_full_unstemmed Successfully Closing an Acquired Palatal-fistula Using a Turnover Flap from a Previously Transferred Forearm-free-flap
title_sort successfully closing an acquired palatal-fistula using a turnover flap from a previously transferred forearm-free-flap
publisher Wolters Kluwer
series Plastic and Reconstructive Surgery, Global Open
issn 2169-7574
publishDate 2017-12-01
description Summary:. Palatal fistula between the oral and nasal cavities occurs in about 20% of palatal repairs after oncologic resection. Although healing by secondary intention may be employed as an initial strategy, persistent nonhealing symptomatic fistula necessitates intervention. Folded free flap used for primary repair of palatectomy defects enables placement of epithelialized tissue on both the oral and nasal cavities. In case of acquired palatal fistula, a turnover flap can be easily created, based on the free margin of the folded forearm free flap to serve as a reconstructive lifeboat.
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001598
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