Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 4 , Pages 621-629 , April 2007

Reconstructing Wide Palatomaxillary Defects Using Free Flaps Combining Bare Serratus Anterior Muscle Fascia and Scapular Bone

  • Kemal Uǧurlu, MD

      Affiliations

    • Consultant, Department of Plastic and Reconstructive Surgery, Sisli Etfal State Hospital, Istanbul, Turkey.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Uǧurlu: Abidei Hürriyet Cad Park, Apt 129/2, Sisli, Istanbul, Turkey
    • ,
  • Bulent Sacak, MD

      Affiliations

    • Resident, Department of Plastic and Reconstructive Surgery, Sisli Etfal State Hospital, Istanbul, Turkey.
    • ,
  • Ilkay Hüthüt, MD

      Affiliations

    • Consultant, Department of Plastic and Reconstructive Surgery, Sisli Etfal State Hospital, Istanbul, Turkey.
    • ,
  • Semra Karsidag, MD

      Affiliations

    • Consultant, Department of Plastic and Reconstructive Surgery, Sisli Etfal State Hospital, Istanbul, Turkey.
    • ,
  • Damlanur Sakız, MD

      Affiliations

    • Consultant, Department of Pathology, Sisli Etfal State Hospital, Istanbul, Turkey.
    • ,
  • Lütfü Baş, MD

      Affiliations

    • Professor and Chief, Department of Plastic and Reconstructive Surgery, Sisli Etfal State Hospital, Istanbul, Turkey.

References 

  1. Wells MD, Luce EA. Reconstruction of midfacial defects after surgical resection of malignancies. Clin Plast Surg. 1995;22:79
  2. Futran ND, Haller JR. Considerations for free flap reconstruction of the hard palate. Arch Otolaryngol Head Neck Surg. 1999;125:665
  3. Rogers SN, Lowe D, McNally D, et al. Health-related quality of life after maxillectomy: A comparison between prosthetic obturation and free flap. J Oral Maxillofac Surg. 2003;61:174
  4. Kornblith AB, Zlotolow IM, Gooen J, et al. Quality of life of maxillectomy patient using an obturator prosthesis. Head Neck. 1996;18:323
  5. Ali A, Fardy MJ, Patton DW. Maxillectomy: To reconstruct or obturate? (Results of a UK survey of oral and maxillofacial surgeons). Br J Oral Maxillofac Surg. 1995;33:207
  6. Davison SP, Sherris DA, Melan NB. An algorithm for maxillectomy defect reconstruction. Laryngoscope. 1998;108:215
  7. Bradley P, Brockbank J. Temporalis muscle flap in oral reconstruction. J Maxillofac Surg. 1981;9:139
  8. Koranda FC, McMahon MF, Jernstrom VR. The temporalis muscle flap for intraoral reconstruction. Arch Otolaryngol Head Neck Surg. 1987;113:740
  9. Argamaso RV. The tongue flap: Placement and fixation for closure of palatoplasty fistulae. Cleft Palate J. 1990;27:402
  10. Robertson MS. The use of tongue flap for the repair of defects following radical surgery of the head and neck. Aust N Z J Surg. 1975;45:395
  11. Baker SR. Closure of large orbital-maxillary defects with free latissimus dorsi myocutaneous flaps. Head Neck Surg. 1984;6:828
  12. Serafin D, Riefkohl R, Thomas I, et al. Vascularized rib-periosteal and osteocutaneous reconstruction of the maxilla and the mandible: An assessment. Plast Reconstr Surg. 1980;66:718
  13. Ewers R. Reconstruction of the maxilla with a double musculoperiosteal flap in connection with a composite calvarial bone graft. Plast Reconstr Surg. 1988;81:43
  14. Soutar DS, Scheker LR, Tanner NSB, et al. The radial forearm flap: A versatile method for intra-oral reconstruction. Br J Plast Surg. 1983;36:1
  15. Chen HC, Ganos DL, Coessens BC, et al. Free forearm flap for closure of difficult oronasal fistulas in cleft palate patients. Plast Reconstr Surg. 1992;90:757
  16. Swartz WM, Banis JC, Newton ED, et al. The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg. 1986;77:530
  17. Fassio E, Ugurlu K, Goga D, et al. Reconstruction of a mandibular and maxillary defect with a biscapular bifascial flap as a single transplant. J Oral Maxillofac Surg. 1999;57:1134
  18. Coleman JJ, Sultan MR. The bipediculed osteoctaneous scapula flap: A new subscapular system free flap. Plast Reconstr Surg. 1991;87:682
  19. Granick MS, Ramasastry SS, Newton ED, et al. Reconstruction of complex maxillectomy defect with the scapular-free flap. Head Neck. 1990;12:377
  20. Yim KK, Wei FC. Fibula osteoseptocutaneous free flap in maxillary reconstruction. Microsurgery. 1994;15:353
  21. Browne JD, Burke AJC. Benefits of routine maxillectomy and orbital reconstruction with the rectus abdominis free flap. Otolaryngol Head Neck Surg. 1999;121:203
  22. Genden EM, Wallace D, Buchbinder D, et al. Iliac crest internal oblique osteomusculocutaneous free flap reconstruction of the postablative palatomaxillary defect. Arch Otolaryngol Head Neck Surg. 2001;127:854
  23. Inoue T, Harashina T, Asanami S, et al. Reconstruction of the hard palate using free iliac bone covered with jejunal flap. Br J Plast Surg. 1988;41:143
  24. Triana RJ, Uglesic V, Virag M, et al. Microvascular free flap reconstructive options in patients with partial and total maxillectomy defects. Arch Facial Plast Surg. 2000;2:91
  25. Jones NF, Hardesty RA, Swartz WM, et al. Extensive and complex defects of the scalp, middle third of the face, and palate: The role of microsurgical reconstruction. Plast Reconstr Surg. 1988;82:937
  26. Cordeiro PG, Santamaria EA. Classification system and algorithm for reconstruction of maxillectomy and midfacial defects. Plast Reconstr Surg. 2000;105:23
  27. Truitt TO, Gleich LL, Huntress GP, et al. Surgical management of hard palate malignancies. Otolaryngol Head Neck Surg. 1999;121:548
  28. Funk G, Arcuri MR, Frodel JL. Functional dental rehabilitation of massive palatomaxillary defect: Cases requiring free tissue transfer and osseointegrated implants. Head Neck. 1998;20:38
  29. Johnson MA, Langdon JD. Is skin necessary for intraoral reconstruction with myocutaneous flaps?. Br J Oral Maxillofac Surg. 1990;28:299
  30. Martin IC, Brown AE. Free vascularized fascial flap in oral cavity reconstruction. Head Neck. 1994;16:45
  31. Batchelor AG, Palmer JH. A novel of closing a palatal fistula: The free fascial flap. Br J Plast Surg. 1990;43:359
  32. Shestak KC, Schusterman MA, Jones NF, et al. Immediate microvascular reconstruction of combined palatal and midfacial defects. Am J Surg. 1988;156:252
  33. Chem RC, Franciosi LFN. Dorsalis pedis free flap to close extensive palate fistulae. Microsurgery. 1983;4:35
  34. Rogers SN, Fisher SE, Woolgar JA. A review of quality of life assessment in oral cancer. Int J Oral Maxillofac Surg. 1999;28:99
  35. Uǧurlu K, Hüthüt I, Özçelik D, et al. Epithelialization process of free fascial flaps used in reconstruction of oral cavity mucosa defects in dogs. Plast Reconstr Surg. 2004;113:915

PII: S0278-2391(06)01373-5

doi: 10.1016/j.joms.2005.12.075

Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 4 , Pages 621-629 , April 2007

Article Tools

* Image Usage & Resolution