Angularis Oris Axial Pattern Buccal Flap for Reconstruction of Recurrent Fistulae of the Palate

Abstract

Angularis oris axial pattern flaps provide an additional effective option for repair of defects in the hard and soft palate to the distal gingival margin of the canine tooth or beyond, depending on skull conformation. Advantages of this flap include its highly vascular and robust character, high degree of mobility and a surface of tough buccal mucosa.

Investigation and clinical application of a novel axial pattern flap for nasal and facial reconstruction in the dog

“…The angularis oris artery supplies the obicularis oris and buccinator muscles, as well as the adjacent skin and mucosa 12 . The buccal mucosal vascular supply has been effectively exploited in palatal reconstruction with the creation of an angularis oris axial pattern buccal flap 13 . The cutaneous distribution and potential to support a cutaneous axial pattern flap has not been reported.…”

Avaliação histológica e morfométrica do retalho axial oris angularis e da terapia por ondas de choque aplicados a defeito palpebral experimental em cães

“…Alguns retalhos axiais foram descritos para a reconstrução orbitária e maxilofacial em animais domésticos 9,10,12 . O retalho de padrão axial oris angularis foi citado na literatura veterinária para a reconstrução nasal e do palato duro em cães 13,14 . No presente estudo, o retalho oris angularis foi utilizado para a reconstrução de defeitos experimentais realizados nas pálpebras inferiores de cães, abrangendo toda sua extensão e a espessura total da pele das mesmas.…”

“…Alguns autores estudaram a aplicação clínica do retalho axial oris angularis, com resultados favoráveis para a reconstrução do palato duro 13 e para a região nasal e facial, nos cães 14 .…”

Greater Palatine Island Axial Pattern Flap for Repair of Oronasal Fistula Related to Eosinophilic Granuloma

“…8 Use of the greater palatine artery island axial pattern flap in this case provided relatively thick, disease-free tissue to augment repair of the oronasal fistula. The thin, peri-fistula epithelialized tissue was not considered appropriate or sufficient for splitthickness dissection.…”