Akademik Veri Yönetim Sistemi
taoms, Antalya, Türkiye, 17 - 21 Kasım 2023, ss.249-250
Introduction: The soft palate, which forms the ceiling of the anterior region of the oral cavity and is a continuation of the hard palate, covers an anatomically very small area in the oral cavity.
Case: A thirty-seven-year-old male patient was admitted to our clinic with a fistula in the middle of his soft palate. The patient's soft palate fistula was determined by intraoral examination and radiographic evaluations. In the patient's history, it was learned that he had a cleft in the soft palate. Two-flap surgery was planned under general anesthesia. Fistula borders were deepened with the help of a scalpel. The mucosal layers of the soft palate were separated from each other within safe limits with the help of a sharp scalpel without damaging the palatal vessels. Submarginal and perifistula deattachments were combined at the subperiosteal level. This combination allowed the two flaps to be combined comfortably and provided a tension-free union, thanks to the flexibility of the flap. In order to ensure a better healing by reducing the dead space between the mucosa, suspension sutures were made to the teeth using 3/0 vicryl plus suture, transpapillary, from two points in the area of teeth 17 and 27, where the submarginal incision was made.
Conclusion: Closing oronasal fistulas with a two-layer mucoperiosteal flap is a one-stage procedure. After
these treatments, the patients' nutrition and phonation improve significantly and their quality of life increases.