title: Oronasal fistula post-septoplasty.
abstract: Nasal septal surgery is one of the most common otolaryngology procedures performed, with rare occurrences of major postoperative complications. Oronasal fistula is a rare complication of septal surgery, with only few cases being reported in the literature. It is commonly caused by a congenital cleft palate, cleft palate surgery, traumatic injuries, infections, or neoplasms; however, it does not usually occur post-septal surgery. Here, we report the case of a 55-year-old male who presented with a symptomatic oronasal fistula post-septoplasty. Unlike other reported cases, there were no features of underlying palatal pathologies, and no previous history of other nasal or oral procedures. We described a multilayer surgical closure technique that was utilized in this case, with no recurrence seen during a 6-month follow-up period. Additionally, we reviewed the other 3 reported cases of this complication, and discussed the possible etiology in this case.
authors.affiliation: Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia. E-mail. alhedaithy@hotmail.com.
authors.forename: Riyadh A
authors.initials: RA
authors.lastname: Alhedaithy
authors.forename: Saad A
authors.initials: SA
authors.lastname: Alsaleh
mesh_terms: D004724:Endoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D009668:Nose Diseases / Q000175:diagnosis* / Q000601:surgery; D016155:Oral Fistula / Q000175:diagnosis* / Q000601:surgery; D013517:Otorhinolaryngologic Surgical Procedures; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D019651:Plastic Surgery Procedures