4.1 Article

Endoscope-Assisted Multilayered Repair in Oronasal Fistula

Journal

ENT-EAR NOSE & THROAT JOURNAL
Volume 102, Issue 4, Pages 268-271

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0145561321997607

Keywords

oronasal fistula; cleft palate; recurrence; repair; endoscopic

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This article reports a multilayered technique for oronasal fistula closure using an endoscopic nasal inferior turbinate composite graft with a palatal advance flap, aiming to increase the success rate of small-sized oronasal fistula surgery.
Oronasal fistula following cleft palate repair is a considerable complication with a recurrence rate of 33% to 37% and remains a challenging problem for surgeons. Furthermore, many patients have undergone several operations and experienced scar problems and other forms of morbidity. Therefore, we report a multilayered technique for oronasal fistula closure using an endoscopic nasal inferior turbinate composite graft with a palatal advance flap. This will increase the success rate after closure of small-sized oronasal fistula surgery without complications or recurrence (IRB: 2020-1671-0001).

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