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The outcome after huge oronasal fistula closure by tongue flap in Yala hospital |
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| รหัสดีโอไอ | |
| Creator | Saranyoo Suwansa-Ard |
| Title | The outcome after huge oronasal fistula closure by tongue flap in Yala hospital |
| Publisher | โรงพยาบาลสุราษฎร์ธานี |
| Publication Year | 2565 |
| Journal Title | วารสารวิชาการแพทย์เขต 11 |
| Journal Vol. | 36 |
| Journal No. | 3 |
| Page no. | 79-89 |
| Keyword | Cleft palate, Oronasal fistula, Tongue flap |
| URL Website | https://he02.tci-thaijo.org/index.php/Reg11MedJ |
| Website title | Thaijo |
| ISSN | 3088-2435 |
| Abstract | Background: Cleft palate is significant public health problem in Thailand. However, after surgical correction the rate of ONF was 3% to 38%. Tongue flap is a choice for coverage oronasal fistula. Previous study shown huge oronasal fistula closure as a case report.rnrnObjective: Our study aims to examine the viability of the tongue flap, fistula closure, residual tongue function and speech impairment in individuals with cleft palate who presented with an oronasal fistula bigger than 2 cm2.rnrnMethods: This study was a retrospective study at Yala Hospital from July 16, 2018, to August 31, 2022.rnrnResults: This study examined ten cleft palate patients with oronasal fistula (50% males and 50% females). The majority of cases were unilateral complete cleft palates, with the ONF typically located in the middle of the palate and measuring approximately 11.38 cm2. The entire tongue flap was viable, and there was no donor site morbidity. Wound dehiscence occurred in one case. The patient's hypernasality (p-value = 0.006) and regurgitation (p-value = 0.025) improved after surgery.rnrnConclusion: The tongue flap was effective for repairing a huge oronasal fistula and enhancing palatal function, particularly regurgitation and hypernasality. |
