Volume : VII, Issue : XII, December - 2018

SOFT TISSUE FLAPS FOR ORAL AND MAXILLOFACIAL REGION: A PILOT STUDY

Dr. Manish Kumara, Dr. Vivek Kumar

Abstract :

 Introduction: Soft tissue flaps designed from different body parts are used to reconstruct the soft tissue defects in oral and maxillofacial region. These flaps can provide soft tissue blanket thereby attempting to restore function and aesthetics both.

Aims: To study the feasibility of locoregional and distant flaps in various soft tissue defects of oral and maxillofacial region.

Material and methods: 24 patients needing soft tissue reconstruction in oral and maxillofacial region either after trauma or tumor resection were included in the study. Soft tissue defects less than 2 x 1 cm of its greatest dimension, soft tissue defects having skin loss only and treated by skin grafts, children below 13 years of age, defects that were treated by free flaps and those requiring radiotherapy in reconstruction region were excluded from the study.

Results: In our study mean age of the patient was 43.07 years. Bone loss was observed in 8 cases (33.3%). Haematoma was present upto one week postoperatively in one each case of deltopectoral, lateral forehead, pectoralis major and scalp flap. Incidence of scarring was higher in pectoralis major flaps. Unacceptable scarring was present in 4 cases (80%). There was no donor site morbidity present at the end of study period.

Conclusions: 1. Locoregional flaps are convenient to use for reconstruction in oral and maxillofacial region. 2. Forehead flap is a good choice for reconstruction after tumor resection.  3. Scalp flap is suitable in temporal bone region. 4. Split skin grafts are excellent choice for donor side closure. 5. Radial forearm and pectoris major flaps appeared good for anterior mandible and floor of the mouth reconstruction. 6. No specific indication of these flaps could be determined from this study

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

SOFT TISSUE FLAPS FOR ORAL AND MAXILLOFACIAL REGION: A PILOT STUDY , Dr. Manish Kumara, Dr. Vivek Kumar , INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7|Issue-12| December-2018

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