Nasal papilloma, a rare late complication of tongue flap repair of palatal fistula.

The use of a tongue flap for treatment of palatal fistulae is a well-established procedure, but it is not without complication. We report on a patient who underwent palatal fistula closure with tongue flap as a child, who then developed a nasal papilloma from the mucosa of the tongue flap 40 years later. This case is the first of its kind to be reported and emphasizes the need for long-term follow-up because the tongue mucosa is vulnerable to many diseases.