An anterior palatal fistula
in a bilateral cleft lip and palate is a challenging clinical dilemma. The authors evaluate the feasibility and outcomes of the reconstruction
of large anterior palatal fistulae using anteriorly based dorsal tongue flaps.
Eight patients with anterior palatal fistulae after repair of a bilateral cleft lip and palate using anteriorly based dorsal tongue flaps. The defect size varied from 1.0 × 1.0 cm to 1.5 × 2.0 cm, and the tongue flap
size varied from 1.5 × 3.5 cm to 2.0 × 3.5 cm.
All patients underwent successful reconstruction
of palatal defects using anteriorly based tongue flaps, and no case of spontaneous detachment of the tongue flap
occurred. The patients with palatal fistulae were followed up for 10 to 30 months, and no recurrence was encountered.
An anteriorly based dorsal tongue flap
is a safe and feasible surgical technique for the closure of anterior palatal fistulae.