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Oronasal Fistula Closure and Defect Reconstruction: Two Case Reports Using Periodontal Plastic Surgery Principles.
Chacon, Gerardo; Alrmali, Abdusalam; Mandil, Obada; Rodriguez, Héctor; Rodriguez, José; Al-Misurati, Anas; Wang, Hom-Lay.
Afiliación
  • Chacon G; Private Practice, Medellin, Colombia.
  • Alrmali A; Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
  • Mandil O; Department of Oral Pathology, Oral Medicine and Oral and Maxillofacial Surgery, School of Dentistry, University of Tripoli, Tripoli, Libya.
  • Rodriguez H; Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
  • Rodriguez J; Private Practice, Barquisimeto, Venezuela.
  • Al-Misurati A; Private Practice, Barquisimeto, Venezuela.
  • Wang HL; Department of Periodontics, School of Dentistry, University of Zawia, Zawia, Libya.
Clin Exp Dent Res ; 10(4): e914, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38973214
ABSTRACT

OBJECTIVES:

Oronasal fistulas are common sequelae following cleft lip and palate surgery and can significantly impact a patient's quality of life. They result from various factors, including surgical techniques, tissue management, and patient-specific factors. This case report explores the modern approach to oronasal fistula closure using periodontal plastic surgery principles. MATERIALS AND

METHODS:

The report presents two cases of patients with oronasal fistulas due to previous maxillofacial surgical intervention. These patients underwent microsurgical procedures that involved partial flap thickness preparation of the fistula areas, the use of connective tissue grafts from the palate, and meticulous suturing techniques to ensure graft integrity. The procedures were performed in stages, and postoperative care was provided.

RESULTS:

Both cases demonstrated successful fistula closure and graft survival. The patients reported improvements in breathing, speech, aesthetics, and quality of life. The second case also included guided bone regeneration and implant placement.

CONCLUSIONS:

Oronasal fistulas resulting from maxillofacial surgery can be effectively treated using periodontal plastic surgery techniques, significantly improving patients' quality of life and aesthetic outcomes. This approach represents a valuable addition to the existing repertoire of oronasal fistula closure methods.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fístula Oral / Fisura del Paladar / Procedimientos de Cirugía Plástica Límite: Adult / Female / Humans / Male Idioma: En Revista: Clin Exp Dent Res Año: 2024 Tipo del documento: Article País de afiliación: Colombia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fístula Oral / Fisura del Paladar / Procedimientos de Cirugía Plástica Límite: Adult / Female / Humans / Male Idioma: En Revista: Clin Exp Dent Res Año: 2024 Tipo del documento: Article País de afiliación: Colombia Pais de publicación: Estados Unidos