A novel route for placing free flap pedicle from a palatal defect
Identifieur interne : 000A92 ( Main/Exploration ); précédent : 000A91; suivant : 000A93A novel route for placing free flap pedicle from a palatal defect
Auteurs : Rajeev B. Ahuja [Inde] ; Pallab Chatterjee [Inde] ; Prabhat Shrivastava [Inde]Source :
- Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India [ 0970-0358 ] ; 2014.
Abstract
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.
Url:
DOI: 10.4103/0970-0358.138965
PubMed: 25190923
PubMed Central: 4147462
Affiliations:
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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.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chen, Hc" uniqKey="Chen H">HC Chen</name></author><author><name sortKey="Ganos, Dl" uniqKey="Ganos D">DL Ganos</name></author><author><name sortKey="Coessens, Bc" uniqKey="Coessens B">BC Coessens</name></author><author><name sortKey="Kyutoku, S" uniqKey="Kyutoku S">S Kyutoku</name></author><author><name sortKey="Noordhoff, Ms" uniqKey="Noordhoff M">MS Noordhoff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ninkovic, M" uniqKey="Ninkovic M">M Ninkovic</name></author><author><name sortKey="Hubli, Eh" uniqKey="Hubli E">EH Hubli</name></author><author><name sortKey="Schwabegger, A" uniqKey="Schwabegger A">A Schwabegger</name></author><author><name sortKey="Anderl, H" uniqKey="Anderl H">H Anderl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marshall, Dm" uniqKey="Marshall D">DM Marshall</name></author><author><name sortKey="Amjad, I" uniqKey="Amjad I">I Amjad</name></author><author><name sortKey="Wolfe, Sa" uniqKey="Wolfe S">SA Wolfe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schwabegger, Ah" uniqKey="Schwabegger A">AH Schwabegger</name></author><author><name sortKey="Hubli, E" uniqKey="Hubli E">E Hubli</name></author><author><name sortKey="Rieger, M" uniqKey="Rieger M">M Rieger</name></author><author><name sortKey="Gassner, R" uniqKey="Gassner R">R Gassner</name></author><author><name sortKey="Schmidt, A" uniqKey="Schmidt A">A Schmidt</name></author><author><name sortKey="Ninkovic, M" uniqKey="Ninkovic M">M Ninkovic</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krimmel, M" uniqKey="Krimmel M">M Krimmel</name></author><author><name sortKey="Hoffmann, J" uniqKey="Hoffmann J">J Hoffmann</name></author><author><name sortKey="Reinert, S" uniqKey="Reinert S">S Reinert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ozkan, O" uniqKey="Ozkan O">O Ozkan</name></author><author><name sortKey="Ozkan, O" uniqKey="Ozkan O">O Ozkan</name></author><author><name sortKey="Coskunfirat, Ok" uniqKey="Coskunfirat O">OK Coskunfirat</name></author><author><name sortKey="Hadimio Lu, N" uniqKey="Hadimio Lu N">N Hadimioğlu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Christiano, Jg" uniqKey="Christiano J">JG Christiano</name></author><author><name sortKey="Dorafshar, Ah" uniqKey="Dorafshar A">AH Dorafshar</name></author><author><name sortKey="Rodriguez, Ed" uniqKey="Rodriguez E">ED Rodriguez</name></author><author><name sortKey="Redett, Rj" uniqKey="Redett R">RJ Redett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gaggl, A" uniqKey="Gaggl A">A Gaggl</name></author><author><name sortKey="Burger, H" uniqKey="Burger H">H Bürger</name></author><author><name sortKey="Virnik, S" uniqKey="Virnik S">S Virnik</name></author><author><name sortKey="Schachner, P" uniqKey="Schachner P">P Schachner</name></author><author><name sortKey="Chiari, F" uniqKey="Chiari F">F Chiari</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Colletti, G" uniqKey="Colletti G">G Colletti</name></author><author><name sortKey="Allevi, F" uniqKey="Allevi F">F Allevi</name></author><author><name sortKey="Valassina, D" uniqKey="Valassina D">D Valassina</name></author><author><name sortKey="Bertossi, D" uniqKey="Bertossi D">D Bertossi</name></author><author><name sortKey="Biglioli, F" uniqKey="Biglioli F">F Biglioli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Demas, Pn" uniqKey="Demas P">PN Demas</name></author><author><name sortKey="Sotereanos, Gc" uniqKey="Sotereanos G">GC Sotereanos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cordeiro, Pg" uniqKey="Cordeiro P">PG Cordeiro</name></author><author><name sortKey="Wolfe, Sa" uniqKey="Wolfe S">SA Wolfe</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Ahuja, Rajeev B" sort="Ahuja, Rajeev B" uniqKey="Ahuja R" first="Rajeev B." last="Ahuja">Rajeev B. 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