Closure surgery using two-flap palatoplasty for oro-nasal fistula after removal of palatal pleomorphic adenoma
Jin Ga-Youn, 이연정, 김민호, 양수남,
소속 상세정보
( Jin Ga-Youn ) - Cheongju Hankook General Hospital Department of Oral and Maxillofacial Surgery
이연정 ( Lee Yeon-Jung ) - Cheongju Hankook General Hospital Department of Oral and Maxillofacial Surgery
김민호 ( Kim Min-Ho ) - Cheongju Hankook General Hospital Department of Oral and Maxillofacial Surgery
양수남 ( Yang Soo-Nam ) - Cheongju Hankook General Hospital Department of Oral and Maxillofacial Surgery
KMID : 1034220230150010022
Abstract
An oro-nasal fistula is an abnormal passage formed between the maxillary sinus and the oral cavity. It is one of the complications that can occur after resection of a benign tumor in the palate, and it can occur despite successful surgery and proper postoperative management abiding by an appropriate protocol. When an oro-nasal fistula occurs, it can cause symptoms such as nasal discharge, reflux of water and food, and maxillary sinusitis. Oro-nasal fistulas that do not heal on their own must be reconstructed through a secondary surgery using palatoplasty. Pleomorphic adenoma is the most common benign tumor in the salivary glands, and when it occurs in the palate, it has an aggressive tendency. Because there is a possibility of recurrence and metastasis to malignancy, complete surgical resection of the tumor is required. In this study, we introduce two cases in which a secondary surgery using palatoplasty was performed to close a bone defect (oro-nasal fistula) that occurred after removal of a pleomorphic adenoma of the palate. The two cases were performed with the goal of: 1. Closing of the defect. 2. tension-free suturing to prevent recurrence. The two-flap palatoplasty technique was used in both patients and is reported because it has been performed successfully without recurrence to date.
키워드
Pleomorphic adenoma; Oro-nasal fistula; Two-flap palatoplasty
원문 및 링크아웃 정보
등재저널 정보