title: Closure of palatal fistula with local double-breasted mucoperiosteal flaps.
abstract: OBJECTIVE
  Despite improvement to surgical techniques of cleft-palate surgery, palatal fistulas remain a challenge. Many surgical procedures have been described for repair of these fistulas either by using the local tissue or by importing a new tissue from adjacent areas. In this report, we describe our technique for closure of palatal fistula using double-breasted mucoperiosteal flaps based on the greater palatine artery.
  
  
  METHODS
  Eight patients with oronasal fistulas located in the posterior two-thirds of the hard palate following cleft-palate repair were treated by double-breasted mucoperiosteal flaps with an overlapping zone of 1-2 cm.
  
  
  RESULTS
  All fistulas successively healed, none of our patients developed any significant postoperative bleeding, infection or fistula recurrence.
  
  
  CONCLUSIONS
  Double breasated mucoperiostial flap is a simple successful option for correction of oronasal fistula.
authors.affiliation: Plastic Surgery Unit, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
authors.forename: Raafat Abd-Allatif
authors.initials: RA
authors.lastname: Anani
authors.forename: Ahmed Mohamed
authors.initials: AM
authors.lastname: Aly
mesh_terms: D002648:Child; D002675:Child, Preschool; D002972:Cleft Palate / Q000150:complications / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation; D016155:Oral Fistula / Q000209:etiology / Q000601:surgery*; D021362:Palate, Hard / Q000601:surgery; D010521:Periosteum / Q000637:transplantation; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D013524:Surgical Flaps; D013997:Time Factors; D020858:Tissue and Organ Harvesting; D016896:Treatment Outcome