Journal article

Palatal fistulas complicating osseomyocutaneous reconstruction of oncological maxillectomy defects

Nicholas Tang, Peter Tao, Julian Liew, Tim A Iseli, David Wiesenfeld, Kirstie MacGill, Anand Ramakrishnan

EUROPEAN JOURNAL OF PLASTIC SURGERY | SPRINGER | Published : 2019

Abstract

Background: Free flap reconstruction is the standard method for reconstructing large maxillary defects. Palatal fistula is an uncommon complication following reconstructive surgery. This study aims to describe the incidence, etiology, and management of palatal fistulae following reconstruction of oncological maxillectomy defects. Methods: A total of 108 patients from a single institution who underwent maxillectomy surgery between 2008 and 2014 were retrospectively reviewed. Ninety-two patients had resection of the hard palate. Sixty-eight patients underwent immediate free flap reconstruction of the palate; 55 had reconstruction of the hard palate with skin, and thirteen had reconstruction of..

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