Repair of recurrent cleft palate with free vastus lateralis muscle flap

Jose G. Christiano; Amir H. Dorafshar; Eduardo D. Rodriguez; Richard J. Redett

doi:10.1597/11-008

Repair of recurrent cleft palate with free vastus lateralis muscle flap

Jose G. Christiano, Amir H. Dorafshar, Eduardo D. Rodriguez, Richard J. Redett

School of Medicine

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

A 6-year-old girl presented with a large recalcitrant oronasal fistula after bilateral cleft lip and palate repair and numerous secondary attempts at fistula closure. Incomplete palmar arches precluded a free radial forearm flap. A free vastus lateralis muscle flap was successfully transferred. No fistula recurrence was observed at 18 months. There was no perceived thigh weakness. The surgical scar healed inconspicuously. Free flaps should no longer be considered the last resort for treatment of recalcitrant fistulas after cleft palate repair. A free vastus lateralis muscle flap is an excellent alternative, and possibly a superior option, to other previously described free flaps.

Original language	English (US)
Pages (from-to)	245-248
Number of pages	4
Journal	Cleft Palate-Craniofacial Journal
Volume	49
Issue number	2
DOIs	https://doi.org/10.1597/11-008
State	Published - Mar 2012

Keywords

Cleft palate
Free flap
Vastus lateralis

ASJC Scopus subject areas

Oral Surgery
Otorhinolaryngology

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10.1597/11-008

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abstract = "A 6-year-old girl presented with a large recalcitrant oronasal fistula after bilateral cleft lip and palate repair and numerous secondary attempts at fistula closure. Incomplete palmar arches precluded a free radial forearm flap. A free vastus lateralis muscle flap was successfully transferred. No fistula recurrence was observed at 18 months. There was no perceived thigh weakness. The surgical scar healed inconspicuously. Free flaps should no longer be considered the last resort for treatment of recalcitrant fistulas after cleft palate repair. A free vastus lateralis muscle flap is an excellent alternative, and possibly a superior option, to other previously described free flaps.",

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AU - Christiano, Jose G.

AU - Dorafshar, Amir H.

AU - Rodriguez, Eduardo D.

AU - Redett, Richard J.

PY - 2012/3

Y1 - 2012/3

N2 - A 6-year-old girl presented with a large recalcitrant oronasal fistula after bilateral cleft lip and palate repair and numerous secondary attempts at fistula closure. Incomplete palmar arches precluded a free radial forearm flap. A free vastus lateralis muscle flap was successfully transferred. No fistula recurrence was observed at 18 months. There was no perceived thigh weakness. The surgical scar healed inconspicuously. Free flaps should no longer be considered the last resort for treatment of recalcitrant fistulas after cleft palate repair. A free vastus lateralis muscle flap is an excellent alternative, and possibly a superior option, to other previously described free flaps.

AB - A 6-year-old girl presented with a large recalcitrant oronasal fistula after bilateral cleft lip and palate repair and numerous secondary attempts at fistula closure. Incomplete palmar arches precluded a free radial forearm flap. A free vastus lateralis muscle flap was successfully transferred. No fistula recurrence was observed at 18 months. There was no perceived thigh weakness. The surgical scar healed inconspicuously. Free flaps should no longer be considered the last resort for treatment of recalcitrant fistulas after cleft palate repair. A free vastus lateralis muscle flap is an excellent alternative, and possibly a superior option, to other previously described free flaps.

KW - Cleft palate

KW - Free flap

KW - Vastus lateralis

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Repair of recurrent cleft palate with free vastus lateralis muscle flap

Abstract

Keywords

ASJC Scopus subject areas

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