Palatal Island Flap for Reconstruction of Oral Defects

Gullane, Patrick; Arena, Sebastian

doi:10.1001/archotol.1977.00780270066010

Cited by 67 publications

(31 citation statements)

References 5 publications

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“…Moreover, the sensate nature of the flap provides an added functional benefit. Reported success rates in the literature for its use in intraoral reconstruction have ranged from 80 to 100% [2,5,9,10]. The obvious contraindications to the use of the PIMPF include ligation of the external carotid or internal maxillary artery, prior palatal surgery with possible disruption of the greater palatine vessels, as well as prior radiation to the palate [9].…”

Section: Discussionmentioning

confidence: 99%

“…Millard [4] in the 1960s more extensively reported its use for cleft palate repair, but its applications in post-ablative intraoral reconstruction were not delineated until 1977 by Gullane and Arena [5]. The mucous membrane of the anterior hard palate is strongly united with the periosteum, forming the mucoperiosteum, which can be readily stripped from the bone.…”

Section: Introductionmentioning

confidence: 99%

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The palatal island mucoperiosteal flap for primary intraoral reconstruction following tumor ablative surgery

Magdy

2011

Eur Arch Otorhinolaryngol

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Reconstruction of intraoral mucosal defects following tumor ablative surgery can be a challenging problem. The objective of this study was to evaluate the use of the palatal island mucoperiosteal flap (PIMPF) in reconstructing intraoral defects resulting from ablative tumor resections. The study included eight consecutive patients who underwent primary reconstruction using the PIMPF following intraoral tumor resections in a 5-year period by a single surgeon at a tertiary referral institute. Patients included five men and three women ranging in age from 32 to 69 years. Four patients were smokers (averaging 40 pack-years). None had received prior irradiation therapy. Resultant surgical defects ranged in size from 6 to 16.5 cm(2) (mean 12.3 ± 3.9) and included areas of soft/hard palate, lateral pharyngeal wall, retromolar trigone and inner cheek. Final pathological findings revealed three benign and five malignant tumors, mostly from minor salivary gland origin. All patients began oral diet between postoperative days 1 and 4 (mean 2 days). All flaps survived well with good postoperative wound healing except one minor flap dehiscence that eventually healed by granulation tissue with no further surgery needed. All donor sites were completely healed by remucosalization within 5-13 weeks. No patients manifested permanent velopharyngeal insufficiency, speech impairment, or airway compromise after a follow-up period ranging from 13 to 56 months (mean 31.3 ± 15.9). The PIMPF was found to be an attractive single-staged versatile and reliable reconstructive option for postero-lateral oral cavity/oropharyngeal defects that provides well-vascularized, sensate mucosa with minimal morbidity.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The palatal island mucoperiosteal flap for primary intraoral reconstruction following tumor ablative surgery

Magdy

2011

Eur Arch Otorhinolaryngol

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“…Pedicled local muscle flaps, such as masseter muscle crossover flap described by Tiwari, 10 were limited by pedicle length, contracture, and atrophy, as well as limited application. The palatal island flap also provided a dependable alternative, although healing of the donor site could be problematic, especially in patients who had received radiation therapy 11 …”

Section: Discussionmentioning

confidence: 99%

Pedicled Temporoparietal Fascial Flap Reconstruction of Select Intraoral Defects

Nayak

Deschler

2004

The Laryngoscope

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“…Various surgical techniques have been suggested for the closure of palatal defects which include secondary healing, palatal flaps, tongue flaps, turnover flaps of adjacent mucoperiosteum, and pedicled flap from the buccal fat pad (BFP). [123456789]…”

Section: Introductionmentioning

confidence: 99%

The use of buccal fat pad free graft in closure of soft-tissue defects and dehiscence in the hard palate

Kablan

2016

Ann Maxillofac Surg

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Introduction:The integrity of the palatal mucosa can be lost due to congenital, pathological, and iatrogenic conditions. Various surgical techniques have been suggested for the closure of palatal defects. The aim of the current study is to present the free buccal fat pad graft as a novel technique to repair the soft-tissue defects at the palate.Patients and Methods:During a 2-year period, the free fat tissue graft harvested from the buccal fat pad (BFP) (FBFG) and used to reconstruct five soft-tissue defects of the palate in five patients (2 women, 3 men; mean age, 34 years; range, 22–58 years). In two patients, the palatal defect size was 2–3 cm and resulted from the resection of pleomorphic adenoma. In two other patients, the defect was due to odontogenic lesion, and in the last patient, the etiology was an iatrogenic dehiscence during maxillary segmentation surgery. Patients were examined every 2 weeks in the first 3 months and thereafter every 3 months.Results:Five patients were treated with FBFG to reconstruct palatal defects and were followed up for 6–24 months. The healing process of the BFP and the recipient sites were uneventful, with minimal morbidity. At 3 months after the surgery, there was complete epithelialization of the graft at the recipient sites.Conclusions:Harvesting of FBFG is a simple procedure with minor complications; manipulation and handling the graft are easy. The use of FBFG in reconstruction of small and medium palatal defects is encouraging with excellent clinical outcomes.

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Palatal Island Flap for Reconstruction of Oral Defects

Cited by 67 publications

References 5 publications

The palatal island mucoperiosteal flap for primary intraoral reconstruction following tumor ablative surgery

The palatal island mucoperiosteal flap for primary intraoral reconstruction following tumor ablative surgery

Pedicled Temporoparietal Fascial Flap Reconstruction of Select Intraoral Defects

The use of buccal fat pad free graft in closure of soft-tissue defects and dehiscence in the hard palate

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