1999
Considerations for Free-Flap Reconstruction of the Hard Palate
Abstract: Free-flap reconstruction of the palate provides reliable permanent separation of the oral and sinonasal cavities in one stage. In addition, the potential for dental rehabilitation with the restoration of masticatory function and normal phonation exists. Flap choice is tailored to specific palatal defects as well as patient needs.
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Cited by 97 publications
(66 citation statements)
References 34 publications
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“…Availability of these devices varies widely by region because they are specially created for each patient by highly trained prosthodontists. Furthermore, many patients suffer from defects that do not retain prostheses well and retract with scar tissue formation, or find difficulty with hygiene surrounding the device . A select group of patients enjoy success with obturators, whereas the majority find the devices cumbersome and painful.…”
Section: Discussionmentioning
confidence: 62%
“…Availability of these devices varies widely by region because they are specially created for each patient by highly trained prosthodontists. Furthermore, many patients suffer from defects that do not retain prostheses well and retract with scar tissue formation, or find difficulty with hygiene surrounding the device . A select group of patients enjoy success with obturators, whereas the majority find the devices cumbersome and painful.…”
Section: Discussionmentioning
confidence: 62%
“…It is also useful for the patient who has an intact palate and preserved orbital contents (usually ethmoidal tumor resections), where access for free flap vessels is exceedingly difficult and muscle coverage is still needed to cover orbital bone grafts. [67] We however, support the use of vascularized bone flaps in this setting. The osteocutaneous free flap most frequently described for reconstruction of the maxillary region are the scapula, fibula, and radius.…”
Section: Type Lllamentioning
confidence: 61%
“…The TM complication rate was similar to free flap complication rates published. 4 Two patients had residual fistula (14%) and one had trismus (7%). Fifteen of the flaps (100%) survived.…”
Section: Resultsmentioning
confidence: 99%
