Prelaminated Calvarial Osteofascial Flap for Palatal Reconstruction

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dc.contributor.authorKilinc, Hidir
dc.contributor.authorAytekin, Ahmet Hamdi
dc.date.accessioned2024-08-04T20:39:48Z
dc.date.available2024-08-04T20:39:48Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractReconstruction of the hard palate defects is among the most challenging problems for plastic surgeons. Prosthetic obturations and local flaps for small defects have been used, whereas numerous regional and free flaps have been described for larger defects. The search for the ideal method offering a natural palatal structure is still ongoing. Five male patients with a mean age of 30.4 years experiencing hard palate defects due to congenital cleft palate or tumor excisions were repaired by prelaminated calvarial osteofascial flap. The mean defect size was 3.14 +/- 2.48 cm. Both of the surfaces of the calvarial bone elevated with superficial temporal fascia were wrapped with fascia and covered with split-thickness skin graft. The interval between the 2 sessions ranged from 3 to 6 weeks. In the second session, triple layered reconstruction involving the bony layer as well as the oral and nasal mucosa was performed. In 1 case, partial skin loss on the oral surface of the flap was seen in the second session but epithelialized spontaneously. The mean follow-up period was 21.8 months, and no complication such as wound detachment, infection, flap loss, as well as fistula or nasal regurgitation was encountered. A hard palatal reconstruction was performed, offering a natural anatomy in terms of structure and shape. This reliable technique, which is convenient for the three-dimensional reconstruction of the hard palate defects offering a near-normal anatomy owing to its triple layered structure, thickness, and the compatible shape of the calvarial bone to the palate, can be a good alternative against other regional and free flaps.en_US
dc.identifier.doi10.1097/SCS.0b013e3182a30627
dc.identifier.endpageE368en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue4en_US
dc.identifier.pmid24531246en_US
dc.identifier.scopus2-s2.0-84904267610en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpageE365en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0b013e3182a30627
dc.identifier.urihttps://hdl.handle.net/11616/96504
dc.identifier.volume25en_US
dc.identifier.wosWOS:000340257800030en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPrelaminateden_US
dc.subjectcalvarial flapen_US
dc.subjectosteofascialen_US
dc.subjectpalatal defecten_US
dc.titlePrelaminated Calvarial Osteofascial Flap for Palatal Reconstructionen_US
dc.typeArticleen_US

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