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하비갑개 피판술을 이용한 구비강루 재건술 1예

A Case of Oronasal Fistula Repaired With Inferior Turbinate Rotational Flap

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초록

Oronasal fistula is a rare but significant complication that diminishes the quality of life for patientsundergoing treatment for cleft palate and head and neck cancer. Various surgical reconstructionmethods can be used based on the size and location of the oronasal fistula. The intranasalinferior turbinate rotational flap is a simple and safe method for reconstructing the defectof nasal cavity. In this case report, we experienced a small oronasal fistula of a 50-year-old femalecaused by osteoradionecrosis after treatment for her malignant melanoma. Successful reconstructionwas achieved with inferior turbinate rotational flap alone. For small oronasal fistulain the hard palate, the inferior turbinate flap alone can be a useful option for reconstruction.

Abstract

Oronasal fistula is a rare but significant complication that diminishes the quality of life for patientsundergoing treatment for cleft palate and head and neck cancer. Various surgical reconstructionmethods can be used based on the size and location of the oronasal fistula. The intranasalinferior turbinate rotational flap is a simple and safe method for reconstructing the defectof nasal cavity. In this case report, we experienced a small oronasal fistula of a 50-year-old femalecaused by osteoradionecrosis after treatment for her malignant melanoma. Successful reconstructionwas achieved with inferior turbinate rotational flap alone. For small oronasal fistulain the hard palate, the inferior turbinate flap alone can be a useful option for reconstruction.

참고문헌 (10)

  1. Buller M, "Cleft palate fistula : a review", Eplasty, 23, pp.e7~ (2023)
  2. Bhattacharyya T, "Assessment of risk factors associated with development of oronasal fistula as a late complication after carbon-ion radiotherapy for head and neck cancer", Radiother Oncol, 144, pp.53~58 (2020)
  3. Yip J, "The inferior turbinate flap in skull base reconstruction", J Otolaryngol Head Neck Surg, 42(1), pp.6~ (2013)
  4. Kim BY, "Endoscope-assisted multilayered repair in oronasal fistula", Ear Nose Throat J, 102(4), pp.268~271 (2023)
  5. McIlwain W, "Management of palatal defects after free-flap reconstruction and radiotherapy", Semin Plast Surg, 37(1), pp.39~45 (2022)
  6. Harvey RJ, "Inferior turbinate pedicle flap for endoscopic skull base defect repair", Am J Rhinol Allergy, 23(5), pp.522~526 (2009)
  7. Penna V, "The turbinate flap for oronasal fistula closure", Ann Plast Surg, 59(6), pp.679~681 (2007)
  8. Rahpeyma A, "Inferior turbinate flap for nasalside closure of palatal fistula in cleft patients : technical note", Plast Reconstr Surg Glob Open, 2(12), pp.e265~ (2015)
  9. Badaoui JN, "Triple layer oronasal fistula repair using local endonasal flaps : case series of three patients", Cleft Palate Craniofac J, 60(3), pp.359~366 (2023)
  10. Obermeyer IP, "Multilayered closure of oronasal and oroantral fistula using intranasal and intraoral flaps", Laryngoscope, 132(11), pp.2259~2261 (2022)

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