Publication: Use of a Buccinator Myomucosal Flap for Wide Recurrent Palatal Fistula Repair
Date
2025
Article Type
Case Report
Journal Title
Journal ISSN
3059-9547
Volume Title
Pages
Pages: 101 - 104
Publisher
Public Health Concern Trust-Nepal (phect-NEPAL)
Abstract
Abstract:
Palatal fistula is a common and challenging complication following cleft palate repair, particularly in recurrent cases with scarred local tissues. The buccinator myomucosal flap (BMMF) provides a well-vascularized regional option for fistula closure. We report a 17-year-old male with a wide recurrent palatal fistula following multiple cleft palate surgeries. The defect, extending from the hard–soft palate junction to the pre-alveolar region, was reconstructed using a posteriorly based unilateral BMMF after nasal layer closure. The flap provided adequate reach and tension-free oral lining. Postoperative recovery was uneventful, with minimal donor-site morbidity. At four-year follow-up, the patient demonstrated stable fistula closure, healthy mucosalization, and no functional complications.
Description
Sunil Kumar Singh
Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital / PHECT-NEPAL, Kirtipur, Kathmandu, Nepal
Bipulesh Goit
Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital / PHECT-NEPAL, Kirtipur, Kathmandu, Nepal
Swosti Thapa
Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital / PHECT-NEPAL, Kirtipur, Kathmandu, Nepal
Leeza Pradhan
Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital / PHECT-NEPAL, Kirtipur, Kathmandu, Nepal
Pramila Shakya
Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital / PHECT-NEPAL, Kirtipur, Kathmandu, Nepal
Keywords
Buccinator myomucosal flap, Cleft palate, palatal fistula, recurrent fistula
Identifier
https://doi.org/10.63455/7yqdgy20