Article: Use of a Buccinator Myomucosal Flap for Wide Recurrent Palatal Fistula Repair
| creativeworkseries.issn | 3059-9547 | |
| dc.contributor.author | Singh, Sunil Kumar | |
| dc.contributor.author | Goit, Bipulesh | |
| dc.contributor.author | Thapa, Swosti | |
| dc.contributor.author | Pradhan, Leeza | |
| dc.contributor.author | Shakya, Pramila | |
| dc.date.accessioned | 2026-07-09T09:07:31Z | |
| dc.date.available | 2026-07-09T09:07:31Z | |
| dc.date.issued | 2025 | |
| dc.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 | |
| dc.description.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. | |
| dc.identifier | https://doi.org/10.63455/7yqdgy20 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/6922 | |
| dc.language.iso | en_US | |
| dc.publisher | Public Health Concern Trust-Nepal (phect-NEPAL) | |
| dc.subject | Buccinator myomucosal flap | |
| dc.subject | Cleft palate | |
| dc.subject | palatal fistula | |
| dc.subject | recurrent fistula | |
| dc.title | Use of a Buccinator Myomucosal Flap for Wide Recurrent Palatal Fistula Repair | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Case Report | |
| oaire.citation.endPage | 104 | |
| oaire.citation.startPage | 101 | |
| relation.isJournalIssueOfPublication | fa2742db-eab9-441f-aa1f-ef81654e2340 | |
| relation.isJournalIssueOfPublication.latestForDiscovery | fa2742db-eab9-441f-aa1f-ef81654e2340 | |
| relation.isJournalOfPublication | 56ecabdf-56c9-4caa-af6a-1fce9c15c360 |