A novel route for placing free flap pedicle from a palatal defect
Identifieur interne : 001657 ( Pmc/Checkpoint ); précédent : 001656; suivant : 001658A 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.
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DOI: 10.4103/0970-0358.138965
PubMed: 25190923
PubMed Central: 4147462
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Ahuja</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Chatterjee, Pallab" sort="Chatterjee, Pallab" uniqKey="Chatterjee P" first="Pallab" last="Chatterjee">Pallab Chatterjee</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Shrivastava, Prabhat" sort="Shrivastava, Prabhat" uniqKey="Shrivastava P" first="Prabhat" last="Shrivastava">Prabhat Shrivastava</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25190923</idno><idno type="pmc">4147462</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147462</idno><idno type="RBID">PMC:4147462</idno><idno type="doi">10.4103/0970-0358.138965</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001C98</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C98</idno><idno type="wicri:Area/Pmc/Curation">001C98</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001C98</idno><idno type="wicri:Area/Pmc/Checkpoint">001657</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001657</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A novel route for placing free flap pedicle from a palatal defect</title><author><name sortKey="Ahuja, Rajeev B" sort="Ahuja, Rajeev B" uniqKey="Ahuja R" first="Rajeev B." last="Ahuja">Rajeev B. Ahuja</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Chatterjee, Pallab" sort="Chatterjee, Pallab" uniqKey="Chatterjee P" first="Pallab" last="Chatterjee">Pallab Chatterjee</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Shrivastava, Prabhat" sort="Shrivastava, Prabhat" uniqKey="Shrivastava P" first="Prabhat" last="Shrivastava">Prabhat Shrivastava</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Burns and Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India</title><idno type="ISSN">0970-0358</idno><idno type="eISSN">1998-376X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></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><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<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><journal-id journal-id-type="publisher-id">IJPS</journal-id><journal-title-group><journal-title>Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India</journal-title></journal-title-group><issn pub-type="ppub">0970-0358</issn><issn pub-type="epub">1998-376X</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25190923</article-id><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></subj-group></article-categories><title-group><article-title>A novel route for placing free flap pedicle from a palatal defect</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ahuja</surname><given-names>Rajeev B.</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Chatterjee</surname><given-names>Pallab</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Shrivastava</surname><given-names>Prabhat</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><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></corresp></author-notes><pub-date pub-type="ppub"><season>May-Aug</season><year>2014</year></pub-date><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></permissions><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></front></pmc><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. Ahuja</name></noRegion><name sortKey="Chatterjee, Pallab" sort="Chatterjee, Pallab" uniqKey="Chatterjee P" first="Pallab" last="Chatterjee">Pallab Chatterjee</name><name sortKey="Shrivastava, Prabhat" sort="Shrivastava, Prabhat" uniqKey="Shrivastava P" first="Prabhat" last="Shrivastava">Prabhat Shrivastava</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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