期刊
ANNALS OF PLASTIC SURGERY
卷 60, 期 1, 页码 49-52出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.sap.0000261539.64038.a9
关键词
Bichat's bulla; hard palate reconstruction; cocaine; oronasal communication
类别
The aim of the study was to describe a new and effective method for reconstructing small- and medium-sized oronasal communications in cases of deficient blood supply of oronasal mucosa. A male patient, aged 45, was presented with a hard palate defect due to chronic cocaine inhalation. The defect was corrected using bilateral Bichat bulla adipose flap and a Le Fort I osteotomy. The surgical technique was described, together with its advantages. Surgery lasted 2 hours. The reconstructive technique had been easy to execute. Six months after the surgery, the defect has been corrected without complications. Le Fort I osteotomy and the use of a bilateral Bichat bulla adipose flap is an effective technique to correct small- and medium-sized palatal defects not solvable with simple oral mucosa flaps. The technique is easy to execute and it showed a high efficacy with minimal impact on the patient's esthetic appearance.
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