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Intraoral reconstruction with a microvascular peritoneal flap.
R C Mixter1, K Mayfield, D G Dibbell
1Division of Plastic Surgery, University of Wisconsin, Janesville, Wisc.
Plastic and Reconstructive Surgery
|September 1, 1991
Summary
The microvascular peritoneal flap provides a novel solution for intraoral defects, offering easy harvesting and low donor-site morbidity. Its unique healing properties and versatility make it ideal for mandibular and cutaneous reconstruction.
Area of Science:
- Reconstructive Surgery
- Microsurgery
- Oral and Maxillofacial Surgery
Background:
- Intraoral defects present significant reconstructive challenges.
- Existing reconstructive options often involve lengthy healing times and potential complications.
Purpose of the Study:
- To introduce and evaluate the microvascular peritoneal flap as a new reconstructive option for intraoral defects.
- To assess the flap's ease of harvesting, donor-site morbidity, healing characteristics, and versatility in reconstruction.
Main Methods:
- Utilized the microvascular peritoneal flap for intraoral defect closure.
- Evaluated flap harvestability, donor-site outcomes, and healing patterns.
- Assessed the rectus muscle and skin paddle for mandibular and cutaneous defect coverage.
Main Results:
- The microvascular peritoneal flap is technically easy to harvest with low donor-site morbidity.
- The peritoneal surface demonstrates primary healing, unlike fascial flaps requiring mucosalization.
- The rectus muscle component effectively addressed mandibular reconstruction, and the skin paddle facilitated closure of large cutaneous defects.
Conclusions:
- The microvascular peritoneal flap is a versatile and effective option for intraoral reconstruction.
- It offers advantages in healing and donor-site morbidity compared to traditional fascial flaps.
- This flap provides a reliable solution for complex mandibular and cutaneous defect reconstruction.