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A novel route for placing free flap pedicle from a palatal defect
One of the better options available to repair a large palatal defect is by employing a free flap. Almost all the times such free flaps are plumbed to facial vessels. The greatest challenge in such cases is the placement of the pedicle from palatal shelf to recipient vessels because there is no direc...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147462/ https://www.ncbi.nlm.nih.gov/pubmed/25190923 http://dx.doi.org/10.4103/0970-0358.138965 |
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author | Ahuja, Rajeev B. Chatterjee, Pallab Shrivastava, Prabhat |
author_facet | Ahuja, Rajeev B. Chatterjee, Pallab Shrivastava, Prabhat |
author_sort | Ahuja, Rajeev B. |
collection | PubMed |
description | One of the better options available to repair a large palatal defect is by employing a free flap. Almost all the times such free flaps are plumbed to facial vessels. The greatest challenge in such cases is the placement of the pedicle from palatal shelf to recipient vessels because there is no direct route available. As majority of large palatal fistulae are encountered in operated cleft palates there is a possibility of routing the pedicle through a cleft in the maxillary arch or via pyriform aperture. When such a possibility doesn’t exist the pedicle is routed behind the maxillary arch. We describe a novel technique of pedicle placement through a maxillary antrostomy, in this case report, where a large palatal fistula in a 16 year old boy was repaired employing a free radial artery forearm flap. The direct route provided by maxillary antrostomy is considered the most expeditious of all possibilities mentioned above. |
format | Online Article Text |
id | pubmed-4147462 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-41474622014-09-04 A novel route for placing free flap pedicle from a palatal defect Ahuja, Rajeev B. Chatterjee, Pallab Shrivastava, Prabhat Indian J Plast Surg Case Report One of the better options available to repair a large palatal defect is by employing a free flap. Almost all the times such free flaps are plumbed to facial vessels. The greatest challenge in such cases is the placement of the pedicle from palatal shelf to recipient vessels because there is no direct route available. As majority of large palatal fistulae are encountered in operated cleft palates there is a possibility of routing the pedicle through a cleft in the maxillary arch or via pyriform aperture. When such a possibility doesn’t exist the pedicle is routed behind the maxillary arch. We describe a novel technique of pedicle placement through a maxillary antrostomy, in this case report, where a large palatal fistula in a 16 year old boy was repaired employing a free radial artery forearm flap. The direct route provided by maxillary antrostomy is considered the most expeditious of all possibilities mentioned above. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4147462/ /pubmed/25190923 http://dx.doi.org/10.4103/0970-0358.138965 Text en Copyright: © Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ahuja, Rajeev B. Chatterjee, Pallab Shrivastava, Prabhat A novel route for placing free flap pedicle from a palatal defect |
title | A novel route for placing free flap pedicle from a palatal defect |
title_full | A novel route for placing free flap pedicle from a palatal defect |
title_fullStr | A novel route for placing free flap pedicle from a palatal defect |
title_full_unstemmed | A novel route for placing free flap pedicle from a palatal defect |
title_short | A novel route for placing free flap pedicle from a palatal defect |
title_sort | novel route for placing free flap pedicle from a palatal defect |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147462/ https://www.ncbi.nlm.nih.gov/pubmed/25190923 http://dx.doi.org/10.4103/0970-0358.138965 |
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