Oronasal fistula can cause speech problems, hearing loss, velopharyngeal insufficiency, and social problems related with fetor oris and oronasal fluid leakage. The purpose of this study was to achieve 3-layer closure with autogenous mastoid fascia graft in a group of patients with recalcitrant oronasal fistulas.Sixteen patients, aged between 2 and 56 years (mean, 13.9 y), with recalcitrant palatal fistula were operated on and included into the study in a tertiary clinic. Nine patients had previous fistula repairs. The patients' mean follow-up period was 6.8 months.Fistula closure was obtained in 14 of 16 patients. All 2 failures had type IV + V fistulas according to Pittsburgh Classification. A 3-layer technique for the closure of fistulas with autogenous mastoid fascia graft allows three-dimensional repair of the defect without tension. Using mastoid fascia via postauricular sulcus incision is a good alternative regarding hiding incision scars and not requiring intraoperative repositioning. Copyright © 2012 by Mutaz B. Habal, MD.
CITATION STYLE
Tunçbilek, G., Konaş, E., Kayikçioǧlu, A., & Mavili, E. M. (2012). Three-layer oronasal fistula repair with sandwiched mastoid fascia graft. In Journal of Craniofacial Surgery (Vol. 23, pp. 780–783). Lippincott Williams and Wilkins. https://doi.org/10.1097/SCS.0b013e31824dbd68
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