Oronasal Fistula Closure Using Modified V-Y Pushback Technique: A Case Report

The most frequent complication associated with cleft palate repair is the oronasal fistula. The oronasal fistula developed primarily because of under tension repair and, in some cases, especially in adults, resulting from postoperative infection. The factors that may be implicated in fistula development after palate repair include the patient's age, gender, cleft type and size, operative procedure, postoperative infection, and the surgeon's experience. We reported a 16-year-old female patient diagnosed with a medium-sized oronasal fistula. She had undergone primary palate repair at the age of 3 years old but had an oronasal fistula at her palate one year later. Oronasal fistula closure was done using a modified V-Y pushback technique.