Colgajo lingual para cierre de fístula oronasal: aportación a la técnica

the oronasal fistula is the most common complication after a palatoplasty and it frequently needs a secondary repair. a great number of surgical techniques have been developed for the management of this condition. the lingual flap is one of the most popular treatments. in spite of the excellent vascularity of the tongue, it must be handled carefully during the procedure to assure the viability of the flap. for this reason we suggest the use of an acrylic slide in the shape of horse-shoe that improves the stability and immobilises the tongue during the surgery. this makes the procedure easier and helps to avoid mistakes during the design and the raising of the flap.