Abstract
This patient was operated for Bardach two-flaps palatoplasty due to bilateral incomplete cleft palate but developed a fistula, on the right side in the posterior half of the hard palate. Palate length is short and muscle movements are not good. She is unable to develop good intraoral pressure to produce consonants and has severe nasal air emission. As per Pakistan Comprehensive Fistula Classification, this patient has right lateral fistulae Rb, S2, and V3.
Plan of Management: For Rb, S2, and V3, turn-in flaps will be used for nasal layer closure, while oral layer closure will be provided by elevating and advancing the left contralateral mucoperiosteal flap. Palate re-repair (with levator dissection and retro-positioning) along with pharyngeal flap will help to improve the speech.
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Fayyaz, G.Q., Daiem, M., Azam, M. (2022). Rb Fistula for Palate Re-repair by Contralateral Mucoperiosteal Flap and Pharyngeal Flap. In: Fayyaz, G.Q. (eds) Surgical Atlas of Cleft Palate and Palatal Fistulae. Springer, Singapore. https://doi.org/10.1007/978-981-15-3889-6_72-1
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DOI: https://doi.org/10.1007/978-981-15-3889-6_72-1
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