Topics

An Intraoperative Salvage After Transection of the Greater Palatine Artery During Cleft Palate Repair: A Case for Buccal Fat and Buccal Myomucosal Flaps.

07:00 EST 13th January 2020 | BioPortfolio

Summary of "An Intraoperative Salvage After Transection of the Greater Palatine Artery During Cleft Palate Repair: A Case for Buccal Fat and Buccal Myomucosal Flaps."

Recently, several adjunctive procedures have gained traction to aid cleft surgeons in repairing especially challenging palatal clefts. Buccal fat flaps and buccal myomucosal flaps have demonstrated particular utility in reinforcing thin palatal flaps or tissue deficits. Although their use has not been widely accepted, they may be particularly helpful in the setting of significant scarring or vascular compromise. Here the authors describe the case of an intraoperative salvage using bilateral buccal fat flaps and a right buccal myomucosal flap after transection of the right Greater Palatine artery (GPA) during palatoplasty on a 14-month old female with Pierre Robin Sequence and a wide Veau II cleft palate. For this operative salvage, bilateral buccal fat flaps were used to reinforce the hard-soft palate junction and a 4 cm × 2 cm flap of the right-sided buccal mucosa and buccinator muscle was inset along the majority of the right-sided soft and posterior hard palate. At 2 years follow-up, the patient had no significant complications and was doing well with healthy-appearing palatal tissue and age-appropriate speech.

Affiliation

Journal Details

This article was published in the following journal.

Name: The Journal of craniofacial surgery
ISSN: 1536-3732
Pages:

Links

DeepDyve research library

PubMed Articles [7014 Associated PubMed Articles listed on BioPortfolio]

Pseudoaneurysm of the Greater Palatine Vessel Following Subepithelial Connective Tissue Graft.

Subepithelial gingival connective tissue grafts are a common surgical procedure performed in both periodontal and implant surgery. This versatile procedure has many indications including tooth root co...

Dynamic changes in arterial pressure following high cervical transection in the decerebrate rat.

Spinal transection has variable effects on arterial pressure, with some investigators demonstrating a precipitous decline and others reporting only a minimal decrease below normal. Recovery of arteria...

Intraoperative graft flow profiles in coronary artery bypass surgery: A meta-analysis.

Conduits used in coronary artery bypass artery grafting (CABG) have different properties and flow profiles. We compared intraoperative mean graft flow (MGF) between arterial and venous conduits, off-p...

Clinical and anatomical study of foramen locations in jaw bones and adjacent structures.

This study aims to find and locate foramens exactly in maxilla and mandible in case of complications during surgeries.Computer topographic angiography (CTA) images of 120 cases were reviewed. The meas...

Use of the gastroduodenal artery in hepatic artery reconstruction for iatrogenic hepatic artery injury during laparoscopic total gastrectomy - case report and review of the literature.

Iatrogenic injury of the hepatic artery is a potential hazard of hepato-pancreato-biliary and gastric surgery. Prompt recognition and specialist management is paramount to limit morbidity for the pati...

Clinical Trials [6364 Associated Clinical Trials listed on BioPortfolio]

Pseudoaneurysm of the Greater Palatine Artery Following Autogenous Connective Tissue Gingival Graft : A Case Series

Gingival recession is defined as the apical migration of the gingival margin from the amelocemental junction. This condition may be associated with symptoms such as tooth hypersensitivity,...

Comparison of Hydro-dissection Versus Ultrasonic Aspirator in Division of Liver Parenchyma in Laparoscopic Resection

Background: until now, there is no agreement about the safest and feasible method for liver parenchyma transection during laparoscopic liver resection. Study design: prospective, randomiz...

Enhanced Recovery After Surgery (ERAS) in Coronary Artery Bypass Graft / Off Pump Coronary Artery Bypass (CABG/OPCAB)

It has been assumed that some elements of the ERAS protocol may contribute to the reduction of complications and improve the satisfaction of patients undergoing coronary artery bypass surg...

Outcomes in Lower Extremity Soft Tissue Sarcoma Patients After Limb Salvage

This study aims to: 1. validate the Finnish version of the Musculoskeletal Tumor Society scale and the Toronto Extremity Salvage Score lower extremity sections and to 2. a...

Stapler Hepatectomy for Elective Liver Resection

There is clinical uncertainty and ongoing discussion among liver surgeons regarding the optimal method of parenchymal transection in patients undergoing elective hepatic resection. While t...

Medical and Biotech [MESH] Definitions

The artery supplying nearly all the left half of the transverse colon, the whole of the descending colon, the sigmoid colon, and the greater part of the rectum. It is smaller than the superior mesenteric artery (MESENTERIC ARTERY, SUPERIOR) and arises from the aorta above its bifurcation into the common iliac arteries.

A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.

Branch of the common carotid artery which supplies the exterior of the head, the face, and the greater part of the neck.

An alternative to amputation in patients with neoplasms, ischemia, fractures, and other limb-threatening conditions. Generally, sophisticated surgical procedures such as vascular surgery and reconstruction are used to salvage diseased limbs.

A therapeutic approach, involving chemotherapy, radiation therapy, or surgery, after initial regimens have failed to lead to improvement in a patient's condition. Salvage therapy is most often used for neoplastic diseases.

Quick Search


DeepDyve research library

Relevant Topics

Cleft Palate and Cleft Lip
Cleft means 'split' or 'separation', and in Cleft Palate and Lip, the palate and lip are split respectively. This occurs as a congenital abnormality because during development in the womb, the face develops in sections which fuse together...

Vascular
Vascular relates to blood vessels (Oxford Medical Dictionary) and can be used to describe the supply of blood, a disease affecting the blood vessels or molecules associated with these structures. For example, <!--LGfEGNT2Lhm-->atherosclerosis ...

Rheumatology
Arthritis Fibromyalgia Gout Lupus Rheumatic Rheumatology is the medical specialty concerned with the diagnosis and management of disease involving joints, tendons, muscles, ligaments and associated structures (Oxford Medical Diction...


Searches Linking to this Article