Closure of a recurrent giant palatal fistula with tongue flap

Introduction: Palatal fistulas can be managed conservatively or surgically depending on the size of defect. Giant fistula is usually treated with local flaps or local flaps combined with regional flaps. Tongue flaps are an excellent alternative to close wide or recurrent palatal fistulae. Here we report a case of a giant palatal fistula postcleft palate surgery which had been operated thrice and failed in different centers. This fistula has been successfully repaired in our center with posteriorly based tongue flap.