Buccinator Myomucosal Flap as Soft Tissue Covering for Vascularized Free Fibular Flap in Anterior Maxillary Bony Defects

2010 ◽  
Vol 68 (4) ◽  
pp. 927-930 ◽  
Author(s):  
Raúl González-García ◽  
Luis Ruiz-Laza ◽  
Damián Manzano ◽  
Leticia Román-Romero ◽  
Carlos Moreno ◽  
...  
2013 ◽  
Vol 24 (2) ◽  
pp. e167-e169 ◽  
Author(s):  
Ersin Ulkur ◽  
Huseyin Karagoz ◽  
Yalcin Kulahci ◽  
Berkay Tolga Suer ◽  
Sinan Oksuz ◽  
...  

2008 ◽  
Vol 37 (7) ◽  
pp. 625-629 ◽  
Author(s):  
J.-H. Lee ◽  
C.-Y. Chung ◽  
H. Myoung ◽  
M.-J. Kim ◽  
P.-Y. Yun

2021 ◽  
Vol 22 (4) ◽  
pp. 209-213
Author(s):  
Jin Mi Choi ◽  
Hojin Park ◽  
Tae Suk Oh

Primary palatoplasty for cleft palate places patients at high risk for scarring, altered vascularity, and persistent tension. Palatal fistulas are a challenging complication of primary palatoplasty that typically form around the hard palate–soft palate junction. Repairing palatal fistulas, particularly wide fistulas, is extremely difficult because there are not many choices for closure. However, a few techniques are commonly used to close the remaining fistula after primary palatoplasty. Herein, we report the revision of a palatal fistula using a pedicled buccal fat pad and palatal lengthening with a buccinator myomucosal flap and sphincter pharyngoplasty to treat a patient with a wide palatal fistula. Tension-free closure of the palatal fistula was achieved, as well as velopharyngeal insufficiency (VPI) correction. This surgical method enhanced healing, minimized palatal contracture and shortening, and reduced the risk of infection. The palate healed with mucosalization at 2 weeks, and no complications were noted after 4 years of follow-up. Therefore, these flaps should be considered as an option for closure of large oronasal fistulas and VPI correction in young patients with wide palatal defects and VPI.


PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3727 ◽  
Author(s):  
Bryan M. Gee ◽  
Yara Haridy ◽  
Robert R. Reisz

Denticles are small, tooth-like protrusions that are commonly found on the palate of early tetrapods. Despite their widespread taxonomic occurrence and similar external morphology to marginal teeth, it has not been rigorously tested whether denticles are structurally homologous to true teeth with features such as a pulp cavity, dentine, and enamel, or if they are bony, tooth-like protrusions. Additionally, the denticles are known to occur not only on the palatal bones but also on a mosaic of small palatal plates that is thought to have covered the interpterygoid vacuities of temnospondyls through implantation in a soft tissue covering; however, these plates have never been examined beyond a simple description of their position and external morphology. Accordingly, we performed a histological analysis of these denticulate palatal plates in a dissorophoid temnospondyl in order to characterize their microanatomy and histology. The dentition on these palatal plates has been found to be homologous with true teeth on the basis of both external morphology and histological data through the identification of features such as enamel and a pulp cavity surrounded by dentine. In addition, patterns of tooth replacement and ankylosis support the hypothesis of structural homology between these tiny teeth on the palatal plates and the much larger marginal dentition. We also provide the first histological characterization of the palatal plates, including documentation of abundant Sharpey’s fibres that provide a direct line of evidence to support the hypothesis of soft tissue implantation. Finally, we conducted a survey of the literature to determine the taxonomic distribution of these plates within Temnospondyli, providing a broader context for the presence of palatal plates and illustrating the importance of maintaining consistency in nomenclature.


2012 ◽  
Vol 23 (1) ◽  
pp. e50-e52 ◽  
Author(s):  
Muhitdin Eski ◽  
Andac Aykan ◽  
Ismail Sahin ◽  
Selcuk Isik

2008 ◽  
Vol 122 (6) ◽  
pp. 209e-210e ◽  
Author(s):  
Lok H. Yap ◽  
Joannis Constantinides ◽  
Charles E. Butler

Sign in / Sign up

Export Citation Format

Share Document