J Korean Assoc Maxillofac Plast Reconstr Surg.
2013 Mar;35(2):100-106.
Tunnelized-facial Artery Myomucosal Island Flap (t-FAMMIF) for Palatomaxillary Reconstruction: A Report of Two Cases
- Affiliations
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- 1Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Korea. omsnam@yuhs.ac
- 2Department of Oral and Maxillofacial Surgery, Gangnam Severance Dental Hospital, Korea.
Abstract
- There are many challenges for reconstruction after intraoral tumor resection. Especially, palatomaxillary reconstruction has two primary goals: closure of the oronasal communication and re-creation of proper myomucosal function. Prosthodontic treatment using obturator and several surgical procedures are selected depending on the size and site of the defect, the difficulty of operative procedure, operation time and donor site problem. Above all, it is considered that radial forearm free flap is the first choice for palatal reconstruction. Our department introduces a novel method using tunnelized-facial artery myomucosal island flap for palatomaxillary defect reconstruction, which can successfully reduce donor-site morbidity, and duration of surgery and hospitalization.
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