Manjunath K N, Waiker Veena P
Department of Plastic and Reconstructive Surgery, MSRMC, Bengaluru, Karnataka, India.
World J Plast Surg. 2017 Sep;6(3):319-323.
Palate is a complex structure separating oro- and nasopharynx. However, reconstruction of the defects of palate is much simpler because of the versatile mucoperiosteal flaps. Here, we present our experience of palatal mucoperiosteal flap used in different situations.
Fifteen patients of palatal as well as buccal mucosa defects were reconstructed using either free or pedicled mucoperiosteum.
All patients recovered well. No flap loss or secondary procedure were required.
Success in Reconstruction of the palatal defects depends on creation of good nasal as well as buccal mucosal lining. The rich vascular macronet in the palatal mucosa makes it an ideal donor site for local reconstruction. The mucoperiosteum harvested either as a free graft or as pedicled flap serves the purpose well leaving no donor site deformity.
腭是分隔口腔和鼻咽的复杂结构。然而，由于腭黏骨膜瓣的多功能性，腭部缺损的重建要简单得多。在此，我们介绍我们在不同情况下使用腭黏骨膜瓣的经验。
15例腭部及颊黏膜缺损患者采用游离或带蒂黏骨膜进行重建。
所有患者恢复良好。无需皮瓣丢失或二次手术。
腭部缺损重建的成功取决于良好的鼻腔及颊黏膜衬里的形成。腭黏膜丰富的血管网使其成为局部重建的理想供区。以游离移植或带蒂皮瓣形式获取的黏骨膜能很好地达到目的，且不会造成供区畸形。
