[Oronasal fistula in sequels of labialalveolarvelopalatine clefts].
Labial and palatine maxillary clefts are treated by surgery, as for oronasal fistula. One of the most important parts of management is the timing of primary surgery in order to avoid growth disturbance. The authors describe the various possibilities to close secondary oronasal fistula. The timing and choice of surgical techniques are still debated and being improved. Various surgical techniques are available, from mucoperiosteal palatal flap to a free flap. Nevertheless, the mucoperiosteal palatal flap is the most commonly used. In some cases mucoperiosteal flaps are impossible to perform, so other options for extreme cases are discussed.
Raoul
G
G
Département universitaire de chirurgie maxillofaciale et de stomatologie, rez-de-chaussée hôpital B.-Roger-Salengro, rue Emile-Laine, CHRU de Lille, 59037 Lille cedex, France. g-raoul@chru-lille.fr
Ferri
J
J
D016025:Bone Transplantation / Q000379:methods; D002971:Cleft Lip / Q000150:complications* / Q000601:surgery; D002972:Cleft Palate / Q000150:complications* / Q000601:surgery; D006801:Humans; D008445:Maxillofacial Development / Q000502:physiology; D009061:Mouth Mucosa / Q000637:transplantation; D018482:Muscle, Skeletal / Q000637:transplantation; D009668:Nose Diseases / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery; D016155:Oral Fistula / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery; D010158:Palatal Obturators; D010521:Periosteum / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods; D016156:Respiratory Tract Fistula / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery; D013524:Surgical Flaps; D013997:Time Factors