A novel route for placing free flap pedicle from a palatal defect
Identifieur interne : 001153 ( Ncbi/Merge ); précédent : 001152; suivant : 001154A 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
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<front><div type="abstract" xml:lang="en"><p>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.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Plast Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Indian J Plast Surg</journal-id>
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<article-id pub-id-type="pmc">4147462</article-id>
<article-id pub-id-type="publisher-id">IJPS-47-249</article-id>
<article-id pub-id-type="doi">10.4103/0970-0358.138965</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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<title-group><article-title>A novel route for placing free flap pedicle from a palatal defect</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Ahuja</surname>
<given-names>Rajeev B.</given-names>
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<contrib contrib-type="author"><name><surname>Chatterjee</surname>
<given-names>Pallab</given-names>
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<contrib contrib-type="author"><name><surname>Shrivastava</surname>
<given-names>Prabhat</given-names>
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<aff id="aff1">Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi, India</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Rajeev B. Ahuja, Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi - 110 002, India. E-mail: <email xlink:href="rbahuja@gmail.com">rbahuja@gmail.com</email>
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<pub-date pub-type="ppub"><season>May-Aug</season>
<year>2014</year>
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<volume>47</volume>
<issue>2</issue>
<fpage>249</fpage>
<lpage>251</lpage>
<permissions><copyright-statement>Copyright: © Indian Journal of Plastic Surgery</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>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.</license-p>
</license>
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<abstract><p>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.</p>
</abstract>
<kwd-group><title>KEY WORDS</title>
<kwd>Free radial artery forearm flap</kwd>
<kwd>large palatal fistula</kwd>
<kwd>maxillary antrostomy</kwd>
<kwd>palatal fistula repair</kwd>
</kwd-group>
</article-meta>
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<name sortKey="Chatterjee, Pallab" sort="Chatterjee, Pallab" uniqKey="Chatterjee P" first="Pallab" last="Chatterjee">Pallab Chatterjee</name>
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