Abstract
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.
MeSH terms
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Bone Transplantation / methods
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Cleft Lip / complications*
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Cleft Lip / surgery
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Cleft Palate / complications*
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Cleft Palate / surgery
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Humans
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Maxillofacial Development / physiology
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Mouth Mucosa / transplantation
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Muscle, Skeletal / transplantation
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Nose Diseases / etiology*
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Nose Diseases / prevention & control
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Nose Diseases / surgery
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Oral Fistula / etiology*
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Oral Fistula / prevention & control
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Oral Fistula / surgery
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Palatal Obturators
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Periosteum / transplantation
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Plastic Surgery Procedures / methods
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Respiratory Tract Fistula / etiology*
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Respiratory Tract Fistula / prevention & control
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Respiratory Tract Fistula / surgery
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Surgical Flaps
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Time Factors