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Composite Nasoseptal Flap for Palate Reconstruction.
Shekhar K Gadkaree1, Allen L Feng1, Jeffery D Sharon2
1Department of Otolaryngology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA.
The nasoseptal flap is a viable option for reconstructing hard palate defects, offering structural integrity and minimal donor site morbidity. This technique can reliably repair defects up to 2.5 cm.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Head and Neck Surgery
Background:
- Palatal fistulae pose significant reconstructive challenges, often complicated by prior treatments like radiotherapy or surgery.
- Existing reconstructive options may be limited by previous interventions.
Purpose of the Study:
- To evaluate the utility of the nasoseptal flap for palatal fistula repair.
- To assess the feasibility of harvesting a composite nasoseptal flap including septal cartilage and contralateral mucoperichondrium.
Main Methods:
- A prospective study involving 5 cadaver dissections.
- Primary outcomes included the anterior reach of the flap and the size of defect it could reconstruct.
Main Results:
- Composite nasoseptal flaps were successfully harvested, providing structural integrity.
- The flap's maximum anterior reach was 2.0 cm from the anterior nasal spine.
- Defects up to 2.5 cm could be reliably reconstructed.
Conclusions:
- The nasoseptal flap is a viable regional option for hard palate defect reconstruction.
- Further clinical trials are needed to assess long-term outcomes.
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