Reconstruction of Large Acquired Palatal Defects Using Facial-Submental Artery Island Flap
| Autor: | Zhuo-Shan Huang, Yan-Song Yu, You-Yuan Wang, Wei-liang Chen, Juan-Kun Liao |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Defect repair Fistula business.industry Perforation (oil well) General Medicine Arteries Plastic Surgery Procedures Speech function Surgical Flaps Surgery Submental artery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Swallowing medicine.artery Face medicine Palatal fistula Humans Clinical efficacy business Artery |
| Zdroj: | The Journal of craniofacial surgery. 33(2) |
| ISSN: | 1536-3732 |
| Popis: | Objective To evaluate the feasibility and clinical effect of facial-submental artery island flap (FSAIF) in the repair of palatal defects, and to provide reference for the clinical application of submental artery island flap. Methods Nine patients with palatal defects, the range of nasal palatal perforation defects were 3 cm × 4cm to 3 cm × 6 cm (median 3 cm × 5.4 cm), were repaired by FSAIF, and the sizes of FSAIF were 4 cm × 9cm to 4 cm × 12 cm (median 4 cm × 10.4 cm,). Postoperative clinical efficacy was evaluated, including infection and necrosis of mucosal flap and postoperative palatal fistula perforation. Patients were followed up to evaluate their chewing, swallowing, speech function, and satisfaction of appearance. Results All patients were successfully repaired with FSAIF. Followed up 13∼35 months, there was no palatal fistula perforation in all patients. The speech, agitation, and swallowing function were not affected and the patients were satisfied with the appearance. Conclusion FSAIF is a safe and reliable method for palatal defect repair. |
| Databáze: | OpenAIRE |
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