The use of split metatarsal osteocutaneous free flaps in palatal and alveolar defects

A series of seven osteomucosal defects of the palate were closed by split metatarsal osteocutaneous free flaps. All seven patients had successful closure of their defects with minimal facial scarring and insignificant donor site morbidity. This procedure, performed in one stage, avoids the use of previously compromised local tissues and improves the blood supply to the area, thereby enhancing the subsequent indicated reconstruction of other damaged structures.