Reconstruction of palatal defect using mucoperiosteal hinge flap and pushback palatoplasty
This article describes a simple, new surgical technique to provide a complete two-layer closure of palatal defect resulting from a surgical complication of trans palatal resection of skull base chordoma. The nasal layer was reconstructed with triangular shape oral mucoperiosteal turn over hinge flap...
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| Veröffentlicht in: | The Journal of craniofacial surgery 2001-11, Vol.12 (6), p.561-563 |
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| container_title | The Journal of craniofacial surgery |
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| creator | Lee, S I Lee, H S Hwang, K |
| description | This article describes a simple, new surgical technique to provide a complete two-layer closure of palatal defect resulting from a surgical complication of trans palatal resection of skull base chordoma. The nasal layer was reconstructed with triangular shape oral mucoperiosteal turn over hinge flap based on anterior margin of palatal defect and rectangular shaped lateral nasal mucosal hinge flaps. The oral layer was reconstructed with conventional pushback V-Y advancement 2-flaps palatoplasty. Each layer of the flaps were secured with two key mattress suture for flap coaptation. This technique has some advantages: simple, short operation time, one-stage procedure, no need of osteotomy. It can close small- to medium-sized palatal defect of palate or wide cleft palate and can prevent common complication of oronasal fistula, which could be caused by tension. |
| doi_str_mv | 10.1097/00001665-200111000-00011 |
| format | Article |
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The nasal layer was reconstructed with triangular shape oral mucoperiosteal turn over hinge flap based on anterior margin of palatal defect and rectangular shaped lateral nasal mucosal hinge flaps. The oral layer was reconstructed with conventional pushback V-Y advancement 2-flaps palatoplasty. Each layer of the flaps were secured with two key mattress suture for flap coaptation. This technique has some advantages: simple, short operation time, one-stage procedure, no need of osteotomy. It can close small- to medium-sized palatal defect of palate or wide cleft palate and can prevent common complication of oronasal fistula, which could be caused by tension.</description><identifier>ISSN: 1049-2275</identifier><identifier>DOI: 10.1097/00001665-200111000-00011</identifier><identifier>PMID: 11711823</identifier><language>eng</language><publisher>United States</publisher><subject>Child, Preschool ; Chordoma - surgery ; Dentistry ; Female ; Humans ; Maxillary Diseases - etiology ; Maxillary Diseases - surgery ; Mouth Mucosa - transplantation ; Nasal Mucosa - transplantation ; Nose - surgery ; Palate - surgery ; Periosteum - transplantation ; Skull Base Neoplasms - surgery ; Surgical Flaps ; Suture Techniques ; Velopharyngeal Insufficiency - etiology ; Velopharyngeal Insufficiency - surgery</subject><ispartof>The Journal of craniofacial surgery, 2001-11, Vol.12 (6), p.561-563</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-9711697888f483e457ea103bc0ea08b606ed826cacad7d788ebee95a0432c7bc3</citedby><cites>FETCH-LOGICAL-c406t-9711697888f483e457ea103bc0ea08b606ed826cacad7d788ebee95a0432c7bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11711823$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, S I</creatorcontrib><creatorcontrib>Lee, H S</creatorcontrib><creatorcontrib>Hwang, K</creatorcontrib><title>Reconstruction of palatal defect using mucoperiosteal hinge flap and pushback palatoplasty</title><title>The Journal of craniofacial surgery</title><addtitle>J Craniofac Surg</addtitle><description>This article describes a simple, new surgical technique to provide a complete two-layer closure of palatal defect resulting from a surgical complication of trans palatal resection of skull base chordoma. 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It can close small- to medium-sized palatal defect of palate or wide cleft palate and can prevent common complication of oronasal fistula, which could be caused by tension.</description><subject>Child, Preschool</subject><subject>Chordoma - surgery</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Maxillary Diseases - etiology</subject><subject>Maxillary Diseases - surgery</subject><subject>Mouth Mucosa - transplantation</subject><subject>Nasal Mucosa - transplantation</subject><subject>Nose - surgery</subject><subject>Palate - surgery</subject><subject>Periosteum - transplantation</subject><subject>Skull Base Neoplasms - surgery</subject><subject>Surgical Flaps</subject><subject>Suture Techniques</subject><subject>Velopharyngeal Insufficiency - etiology</subject><subject>Velopharyngeal Insufficiency - surgery</subject><issn>1049-2275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1PwzAMhnMAsTH4CygnboU4bZP0iCa-pElICC5cojR1WaFtSpMe9u_J6ABfLNvva1sPIRTYFbBCXrMYIESe8JgBYpXsO3BElsCyIuFc5gty6v0HYxyAixOyAJAAiqdL8vaM1vU-jJMNjeupq-lgWhNMSyus0QY6-aZ_p91k3YBj43zAONvGHtK6NQM1fUWHyW9LYz9nrxta48PujBzXpvV4fsgr8np3-7J-SDZP94_rm01iMyZCUsRXRCGVUnWmUsxyiQZYWlqGhqlSMIGV4sIaaypZRR2WiEVuWJZyK0ubrsjlvHcY3deEPuiu8Rbb1vToJq8l50oCL6JQzUI7Ou9HrPUwNp0ZdxqY3rPUvyz1H0v9wzJaLw43prLD6t94AJl-Azd8crA</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>Lee, S I</creator><creator>Lee, H S</creator><creator>Hwang, K</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20011101</creationdate><title>Reconstruction of palatal defect using mucoperiosteal hinge flap and pushback palatoplasty</title><author>Lee, S I ; Lee, H S ; Hwang, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-9711697888f483e457ea103bc0ea08b606ed826cacad7d788ebee95a0432c7bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Child, Preschool</topic><topic>Chordoma - surgery</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Maxillary Diseases - etiology</topic><topic>Maxillary Diseases - surgery</topic><topic>Mouth Mucosa - transplantation</topic><topic>Nasal Mucosa - transplantation</topic><topic>Nose - surgery</topic><topic>Palate - surgery</topic><topic>Periosteum - transplantation</topic><topic>Skull Base Neoplasms - surgery</topic><topic>Surgical Flaps</topic><topic>Suture Techniques</topic><topic>Velopharyngeal Insufficiency - etiology</topic><topic>Velopharyngeal Insufficiency - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, S I</creatorcontrib><creatorcontrib>Lee, H S</creatorcontrib><creatorcontrib>Hwang, K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of craniofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, S I</au><au>Lee, H S</au><au>Hwang, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of palatal defect using mucoperiosteal hinge flap and pushback palatoplasty</atitle><jtitle>The Journal of craniofacial surgery</jtitle><addtitle>J Craniofac Surg</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>12</volume><issue>6</issue><spage>561</spage><epage>563</epage><pages>561-563</pages><issn>1049-2275</issn><abstract>This article describes a simple, new surgical technique to provide a complete two-layer closure of palatal defect resulting from a surgical complication of trans palatal resection of skull base chordoma. 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| ispartof | The Journal of craniofacial surgery, 2001-11, Vol.12 (6), p.561-563 |
| issn | 1049-2275 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Child, Preschool Chordoma - surgery Dentistry Female Humans Maxillary Diseases - etiology Maxillary Diseases - surgery Mouth Mucosa - transplantation Nasal Mucosa - transplantation Nose - surgery Palate - surgery Periosteum - transplantation Skull Base Neoplasms - surgery Surgical Flaps Suture Techniques Velopharyngeal Insufficiency - etiology Velopharyngeal Insufficiency - surgery |
| title | Reconstruction of palatal defect using mucoperiosteal hinge flap and pushback palatoplasty |
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