[Surgical treatment of acquired massive loss of substance of the roof of the mouth].
Surgical treatment of post-traumatic major loss of substance of the palate is reviewed, injuries in the series studied resulting from projectiles. The extensive loss of substance excludes the use of a mucous reservoir and skin grafts have to be employed. Free micro-anastomotic flaps represent a marked progress, as rapid results can be obtained, but these are not always totally effective. Pedicular flaps may have to be used, either of regional origin (cheek, neck, forehead, pectoral region) or from other zones (abdomen, internal surface of the arm). This allows effective, durable obturation of the palatine breach, and the application of the mobilized tissue to associated lesions that, because of the etiology, are almost always present.
D000328:Adult; D006801:Humans; D008297:Male; D009957:Oroantral Fistula / Q000601:surgery*; D010159:Palate / Q000293:injuries; D016038:Skin Transplantation; D013524:Surgical Flaps; D014948:Wounds, Gunshot / Q000601:surgery
Traitement chirurgical des grandes pertes de substance acquises du plafond buccal.