Presentation on theme: "Palatal fistula Dr. Hayder H. Hindawi Plastic & reconstructive surgeon"— Presentation transcript:
1 Palatal fistula Dr. Hayder H. Hindawi Plastic & reconstructive surgeon Al-Yarmook teaching hospital
2 Definition* Fistula is an abnormal communication between oral and nasal cavities lined by epithelial cells. * Heeling by first intention is the goal of the plastic surgeon. * Surgical failure is considered when fistula occurs anywhere along the site of repair.
3 Incidence After complete unilat. Cleft 7.7%. After complete bilat. Cleft %After incomplete cleft %After late closure %
4 Classification Etiology … ( congenital ) ( post traumatic ) ( post inflammatory )( post surgical )
5 Classification 2. Size … ( Ohsumi-N classification ) : Type I … < 2 mm.Type II … 2 – 5 mm.Type III … > 5 mm.
49 Conclusion 1. THE CONCHAL GRAFT PRECLUDES THE NEED FOR EXTENSIVE LOCAL SURGERY.2. MAY ACT AS SUBSTITUE FOR NASAL LININGFLAPS.3. ACTS AS A THIRD LAYER.4. FILL THE DEAD SPACE.5. PREVENTS THE COMUNICATION BETWEENTWO SUTURE LINES.