Abstract
Introduction
Various treatment modalities are reported in the literature for the management of oronasal communication. Single-layer closure often leads to failure and persists a major concern to an operative surgeon. Therefore, double-layer closure is one of the keys to successful management of oronasal communication.
Meterial and Method
A continuous intramucosal running purse string suture at submucosal depth was placed circumferentially around the defect margin with 3–0 round body polyglactin suture as a first layer. Pedicled palatal rotation axial flap based on greater palatine artery was used as the second layer of closure, above the first palatal submucosal layer.
Conclusion
Intramucosal purse string suture technique provides adjacent local tissue for closure of oronasal communication. This technique is easy and can be used as an alternative option for double-layered closure of an oronasal communication, without donor site morbidity and minimal patient discomfort.
References
Sahoo NK, Desai AP, Roy ID, Kulkarni V (2016) Oro-nasal communication. J Craniofac Surg 27(6):e529–e533
Musgrave RH, Bremner JC (1960) Complications of cleft palate surgery. Plast Reconstr Surg 26:180–189
https://www.merriam-webster.com/medical/purse-string%20suture. Accessed 05 July 2018
Cohen PR, Martinelli PT, Schulze KE, Nelson BR (2007) The purse-string suture revisited: a useful technique for the closure of cutaneous surgical wounds. Int J Dermatol 46:341–347
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Human Rights Statement
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Singh, V., Agarwal, S.K., Jajodia, N. et al. Purse String Suture Closure: A Useful Double-Layer Technique for Closure of an Oronasal Communication. J. Maxillofac. Oral Surg. 18, 317–319 (2019). https://doi.org/10.1007/s12663-018-1160-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-018-1160-x