J Korean Soc Plast Reconstr Surg.  2004 Mar;31(2):162-167.

Intraoral Reconstruction using Palatal Island Flap

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Inha University College of Medicine, Incheon, Korea. cjlee@hotmail.com

Abstract

A Principle of reconstruction is to minimize secondary morbidity using a simple and safe technique, which is to make the best result of shape and fuction after reconstruction using like tissue. Among the many method for oral cavity reconstruction, the palatal island flap is just one of methods which satisfies the principle of reconstruction. We have retrospectively reviewed 7 cases between June 1997 and January 2003 in which palatal island flap were used for the primary reconstruction of postablative intraoral defect. The Incision was made 1cm medial to the teeth and 0.5cm anterior to the junction of the soft and hard palate. The vascular pedicle was carefully identified. We fractured the hamulus of the pterygoid plate and resected the greater palatine foramen as a wedge shape to get an extension of vascular pedicle. The flap to be rotated through 180? into the surgical defect. Postoperative complications containing necrosis, inflammation, wound dehiscence, oronasal fistula did not occur. The palatal donor site was left granulate after applying Terudermis(R) and recovered by secondary intention in 2 weeks with little residual deformity. Palatal island flap offers a reliable method of primary reconstruction for intraoral defect.

Keyword

Palatal island flap

MeSH Terms

Congenital Abnormalities
Fistula
Humans
Inflammation
Intention
Mouth
Necrosis
Palate, Hard
Postoperative Complications
Retrospective Studies
Tissue Donors
Tooth
Wounds and Injuries
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