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How To: Multilayered Closure of Oronasal and Oroantral Fistula Using Intranasal and Intraoral Flaps

by Isaac P. Obermeyer, MD, Naya Sterritt, Yarah M. Haidar, MD, Tjoson Tjoa, MD, and Edward C. Kuan, MD, MBA •

RESULTS

Multilayered repair of OAF–ONF using a pedicled intranasal flap combined with an intraoral local flap facilitated excellent closure in both patients. All procedures were completed on an outpatient basis without complications. Postoperative crusting was debrided in the clinic, which resolved any symptoms related to nasal obstruction. At last follow-up for each patient, the fistulae remained closed with well-integrated, healthy tissue (Figure 1, below). In addition, nasal regurgitation was resolved in both patients.

Figure 1. Endoscopic views of right-sided oronasal fistula site for patient 1. Prerepair intranasal (A), postoperative intranasal (B), and intraoral (C) at 15 weeks following surgery.