Soft tissue reconstruction with anterior pedicled inferior turbinate flap in conjunction with palatal flap for standard inferior maxillectomy with hard palate resection

Background The defect after surgical resection of sinonasal malignant tumors is normally reconstructed using free flaps obtained from donor sites. There is no report of using the palatal island flap to reconstruct defects after surgery. We aimed to describe our technique of soft tissue reconstructio...

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Veröffentlicht in:Head & neck 2020-05, Vol.42 (5), p.1110-1114
Hauptverfasser: Omura, Kazuhiro, Nomura, Kazuhiro, Aoki, Satoshi, Otori, Nobuyoshi, Tanaka, Yasuhiro
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container_end_page 1114
container_issue 5
container_start_page 1110
container_title Head & neck
container_volume 42
creator Omura, Kazuhiro
Nomura, Kazuhiro
Aoki, Satoshi
Otori, Nobuyoshi
Tanaka, Yasuhiro
description Background The defect after surgical resection of sinonasal malignant tumors is normally reconstructed using free flaps obtained from donor sites. There is no report of using the palatal island flap to reconstruct defects after surgery. We aimed to describe our technique of soft tissue reconstruction through anterior pedicled inferior turbinate (APIT) flap in conjunction with palatal flap for standard inferior maxillectomy with hard palate resection and its outcomes and to discuss its advantages and disadvantages compared with free‐flap reconstruction. Methods For resection of malignant tumors arising from the anterior nasal septum, we preserved the hard palate during maxillectomy using a palatal island flap and an anterior pedicled inferior turbinate flap. Results One patient developed a small oroantral fistula, which was sealed with a denture. The other patient had a good outcome. Conclusion Our technique of maxillectomy is useful for selected cases of sinonasal malignancy that require maxillary floor resection.
doi_str_mv 10.1002/hed.26091
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There is no report of using the palatal island flap to reconstruct defects after surgery. We aimed to describe our technique of soft tissue reconstruction through anterior pedicled inferior turbinate (APIT) flap in conjunction with palatal flap for standard inferior maxillectomy with hard palate resection and its outcomes and to discuss its advantages and disadvantages compared with free‐flap reconstruction. Methods For resection of malignant tumors arising from the anterior nasal septum, we preserved the hard palate during maxillectomy using a palatal island flap and an anterior pedicled inferior turbinate flap. Results One patient developed a small oroantral fistula, which was sealed with a denture. The other patient had a good outcome. 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There is no report of using the palatal island flap to reconstruct defects after surgery. We aimed to describe our technique of soft tissue reconstruction through anterior pedicled inferior turbinate (APIT) flap in conjunction with palatal flap for standard inferior maxillectomy with hard palate resection and its outcomes and to discuss its advantages and disadvantages compared with free‐flap reconstruction. Methods For resection of malignant tumors arising from the anterior nasal septum, we preserved the hard palate during maxillectomy using a palatal island flap and an anterior pedicled inferior turbinate flap. Results One patient developed a small oroantral fistula, which was sealed with a denture. The other patient had a good outcome. 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source Wiley Online Library Journals Frontfile Complete
subjects Bone
Dentures
endoscopic sinus surgery
endoscopy
Fistulae
free flap
Head & neck cancer
Head and neck
Malignancy
maxillectomy
minimally invasive surgical procedures
Nose
Palate
Septum
Surgery
Tumors
title Soft tissue reconstruction with anterior pedicled inferior turbinate flap in conjunction with palatal flap for standard inferior maxillectomy with hard palate resection
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