Comparison of Clinical Outcome of Facial Artery Myomucosal Flap and Tongue Flap for Closure of Large Anterior Palatal Fistulas
Comparison of Clinical Outcome of Facial Artery Myomucosal Flap and Tongue Flap for Closure of Large Anterior Palatal Fistulas
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DOI：
10.1097/scs.0000000000002773
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发表时间：
2016-09-01
影响因子：
0.9
通讯作者：
Ashraf, Noreen
中科院分区：
文献类型：
--
作者：
Sohail, Muhammad;Bashir, Muhammad Mustehsan;Ashraf, Noreen
闭合较大的前腭瘘复发率高。本研究的目的是对比面动脉肌粘膜瓣(FAMM瓣)和舌瓣在修复较大的前腭瘘中的临床效果。本研究于2008年3月至2014年3月期间进行。本组39例，年龄2~40岁，前腭瘘宽度5~20 mm，伴有牙槽裂，采用舌瓣或FAMM瓣修复。如果患者有足够的局部腭部组织用于闭合、中瘘、后瘘或多发性瘘、瘘管宽度&20 mm，则排除患者。封堵术分2层进行。采用口腔粘骨膜翻转瓣重建鼻层，FAMM瓣重建口腔层16例，舌瓣重建23例。FAMM皮瓣组和舌瓣组的平均疼痛评分分别为3(1)分和7(1)分，P
Closure of large anterior palatal fistula has high recurrence rate. The objective of this study was to compare the clinical outcome of facial artery myomucosal flap (FAMM flap) and tongue flap used for closure of large anterior palatal fistula. This study was conducted from March 2008 to March 2014. Thirty-nine patients, aged 2 to 40 years, who had anterior palatal fistula 5 to 20mm in width with associated alveolar cleft and repaired with either a tongue flap or FAMM flap were included. Patients were excluded if they had adequate local palatal tissue for closure, mid, posterior or multiple fistulae, fistula width >20mm. Closure was performed in 2 layers. Turndown flap of oral mucoperiosteum was used to reconstruct nasal layer and oral layer was reconstructed with FAMM flap in 16 and tongue flap in 23 patients. Mean(SD) pain score was 3(1) and 7(1) in FAMM flap and tongue flap groups respectively with a P value