JVD 2010 #2 - Soft Palate Advancement Flap for Palatal Oronasal Fistulae

Question 1

Leo Rocha, DVM; Brett Beckman, DVM

Soft Palate Advancement Flap for Palatal Oronasal Fistulae STEP-BY-STEP

How should flaps be handled to minimize tissue trauma?

Answer 1

stay sutures

Question 2

Leo Rocha, DVM; Brett Beckman, DVM

Soft Palate Advancement Flap for Palatal Oronasal Fistulae STEP-BY-STEP

How much epithelium should be debrided around the defect?

Answer 2

2mm beyond the bony edges

Question 3

Leo Rocha, DVM; Brett Beckman, DVM

Soft Palate Advancement Flap for Palatal Oronasal Fistulae STEP-BY-STEP

What anatomic structures are highlighted here?

Answer 3

Red - palatine fissue

yellow - palatine sulcus

green - major palatine foramen

Question 4

Leo Rocha, DVM; Brett Beckman, DVM

Soft Palate Advancement Flap for Palatal Oronasal Fistulae STEP-BY-STEP

Answer 4

Full thickness soft palate flap being elevated to allow visualization of the nasopharynx