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Primary Palate Reconstruction Combined With Cranio-Maxillo-Facial Fixation After Self-Inflicted Gunshot Wound Injury:
Tara E Brennan1, Robert G Nicholas
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of New Mexico, Albuquerque, NM.
The Journal of Craniofacial Surgery
|November 2, 2020
Summary
Temporoparietal fascia (TPF) flaps offer a viable solution for palate reconstruction after gunshot wounds, minimizing speech and feeding issues. This technique aids in primary repair, avoiding long-term obturator use and improving patient quality of life.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Trauma Surgery
Background:
- Self-inflicted gunshot wounds (GSW) to the palate cause severe midface trauma, leading to functional deficits.
- Patients often require open reduction and internal fixation (ORIF) for associated facial fractures.
- Oroantral fistulas and functional impairments necessitate complex reconstructive strategies.
