ABSTRACT
Introdução: FiÌstulas oro-nasais saÌo as sequelas mais comuns apoÌs o reparo falho da fissura palatina primaÌria, gerando problemas funcionais e emocionais para as pessoas que sofrem desta complicaçaÌo. FiÌstulas grandes saÌo difiÌceis de fechar e podem exigir retalhos de grande comprimento, largura e profundidade, sendo o retalho lingual de base anterior uma das opçoÌes de retalho mais bem sucedidas para fechamento devido aÌs semelhanças com tecidos locais. e sua vascularizaçaÌo abundante, havendo taxas significativamente menores de recorreÌncia da fiÌstula apoÌs a cirurgia. Relato de caso: O objetivo deste artigo eÌ apresentar o caso de um paciente previamente diagnosticado com fissura labiopalatina que tem histoÌria de seis procedimentos ciruÌrgicos malsucedidos que apresentaram resultados satisfatoÌrios apoÌs a realizaçaÌo deste procedimento. Considerações finais: Ao longo dos anos, foi demonstrado que o retalho de língua é confiável e fácil de obter, devido à vascularização abundante e à grande quantidade de tecido que este órgão fornece para o reparo de fístulas maiores que 5 mm, formadas por complicações pós-cirurgia para fechamento de fenda palatina ou tentativas anteriores de fechamento de fístula com diferentes tipos de técnicas. A flexibilidade do retalho, juntamente com a técnica, a qualidade e a quantidade de tecido, tornam este procedimento de escolha para o fechamento das fístulas palatinas anteriores... (AU)
Introduction: Oro-nasal fistulas are the most common complication after the failed repair of the primary cleft palate, creating functional and emotional problems to people with this issue. Large fistulas are difficult to close and may require flaps with great length, width and depth, the anterior base lingual flap is one of the most successful options for fistula closure due to the similarities with local tissues, great vascularization and significantly lower fistula recurrence rates of the after surgery. Case Report: The objective of this article is to present the case of a patient previously diagnosed patient with cleft lip and palate with six previous unsuccessful surgical procedures on the palate, this patient presented satisfactory results after undergoing tongue flap surgery. Final Considerations: Over the years it has been shown that the lingual flap is reliable and easy to obtain, due to the abundant vascularization and large amount of tissue that this organ provides for the repair of fistulas larger than 5mm that are formed by complications post surgery either for cleft palate closure or previous attempts at fistula closure with different types of techniques. The flexibility of the flap, together with the technique, quality and quantity of tissue make this procedure of choice for the closure of anterior palatine fistulas... (AU)
Introduccioón: Las fiÌstulas oro-nasales son las secuelas maÌs comunes posteriores a la reparacioÌn fallida de paladar hendido primario, generando problemas funcionales y emocionales a las personas que padecen esta complicacioÌn. Las fiÌstulas de gran tamanÌo son difiÌciles de cerrar y pueden requerir de tejido adyacente de gran longitud, ancho y profundidad para su cierre, siendo el colgajo lingual de base anterior una de las opciones maÌs exitosas para cierre de la misma debido a sus similitudes con los tejidos locales y su abundante vascularizacioÌn, existiendo tasas significativamente menores de recidiva de la fiÌstula despueÌs de la cirugiÌa. DescripcioÌn del Caso: El objetivo de este artiÌculo es presentar el caso de un paciente previamente diagnosticado con labio y paladar hendido que presenta antecedente de seis intervenciones quiruÌrgicas en paladar sin eÌxito que presentoÌ resultados satisfactorios tras someterse a este procedimiento. Consideraciones Finales: Con el paso de los anÌos se ha demostrado que el colgajo lingual es confiable y faÌcil de obtener, debido a la abundante vascularizacioÌn y gran cantidad de tejido que este oÌrgano proporciona para la reparacioÌn de fiÌstulas mayores a 5mm que se forman por complicaciones posteriores a cirugiÌa ya sea para cierre de paladar hendido o intentos previos de cierre de fiÌstula con diferentes tipos de teÌcnicas. La flexibilidad del colgajo, junto con la teÌcnica, calidad y cantidad de tejido hacen que este procedimiento sea de eleccioÌn para el cierre de fistulas palatinas anteriores... (AU)
Subject(s)
Humans , Male , Adult , Palate , Cleft Lip , Cleft Palate , Oroantral Fistula , Fistula , Craving , LipABSTRACT
Reportamos el caso de una paciente femenina de 24 años, de la ciudad de Cajamarca referida a nosotros, a quien evaluamos, preparamos y operamos quirúrgicamente con un colgajo lingual largo de base anterior, irrigado por la arteria lingual en el servicio de cirugía plástica y quemados del Hospital Nacional Arzobispo Loayza para lograr el cierre, en dos tiempos operatorios (día 0 y luego al día 22) de una gran fistula oronasal que provocaba rinofonía y reflujo nasal de los líquidos y alimentos; debido a la dehiscencia anterior de una palatoplastía realizada en su ciudad a la edad de 2 años en una campaña gratuita extranjera de labio y paladar fisurados
We report the case of a female patient of 24 years old from the city of Cajamarca referred to us, whom we evaluated, prepared and made a surgery with a tongue flap along the previous base, irrigated by the lingual artery in the Plastic Surgery and Burns Section at the Archbishop Loayza National Hospital to achieve the closing two stages (day 0 and then day 22 ) of a large oronasal fistula that caused rinofonía and nasal reflux of liquids and food; due to previous dehiscence Palatoplasty carried out in his city at the age of 2 years in a free foreign campaign of cleft lip and palate
ABSTRACT
Objective To study the reconstruction of lip defects by using lingual membrane flaps. Methods 11 cases were presented, whose lip defects were extensively or partially. According to the size of defects, bilateral and lateral lingual membrane flaps were transfered to cover the defects to rebuild the lip contour, and then the posteriors were cut 2 weeks later. The repair of lip defects were done after the cover of region outside of lip in 4 patients who had composite defects. 4 patients underwent bilateral lingual membrane flap for repair of lip defects over 1/2 width of lip. 7 patients whose lip defects were less than 1/2 width of lip underwent lateral lingual membrane flap for repair. Results all the flaps were survival. The contour, color and function of lips were reconstructed well. The feeling, taste and movement of the tongue were normal. Conclusion Using lingual membrane flap to close the large defect of lip requires only one operation, especially in the defect repair with bilateral lingual membrane flaps. The flaps can not only rebuild the lip color and contour, but also remain enough tongue papilla in order to ensure the tongue taste after the operation. The excision in the tongue is hidden and tongue's function and contour can be little affected.