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건강한 성인에서 감염성 질환 후 발생한 구개누공 치험례

Palatal Fistula of a Healthy Adult after an Infectious Disease: A Case Report

  • 최현남 (고신대학교 의과대학 성형외과학교실) ;
  • 박진형 (고신대학교 의과대학 성형외과학교실) ;
  • 한예식 (고신대학교 의과대학 성형외과학교실)
  • Choi, Hyun Nam (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Park, Jin Hyung (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Han, Yea Sik (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine)
  • 투고 : 2012.02.11
  • 심사 : 2012.03.08
  • 발행 : 2012.04.09

초록

Purpose: In rare cases, infectious disease can become the cause of palatal fistula as it usually occurs in immunocompromised patients. We are reporting this case because we have successfully reconstructed palatal fistula occurring due to infectious disease in a healthy adult. Methods: A 62-year-old female patient had visited our hospital with a palatal hole that had occurred after suffering from a severe febrile disease. An oro-nasal fistula measuring $1.5{\times}1.3cm$ has been observed in the junction of the soft palate and hard palate, and is presumed to be caused by an infectious disease according to the patient's history. It was reconstructed using a hinge flap and a mucoperiosteal flap. Results: For 6 months, no recurrence or complications had been observed. The post operative patient was satisfied with the improvement in nasal speech and fluid regurgitation. Conclusion: We reported this case since we had obtained a functionally satisfactory result by reconstructing the palatal fistula due to infectious disease in a healthy adult.

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