Closure of palatal defects following excision of palatal pleomorphic adenomas.
OBJECTIVE
The purpose of this study is to compare different palatal defect closure techniques following excision of palatal pleomorphic adenomas (PPA) in four cases and to review the associated dental literature.


METHODS
Excision of all four PPA's was performed under local anesthesia. Three different closure techniques used among the cases included an intact mucosal flap, a pedicled buccal fat pad, or secondary healing.


RESULTS
On average the defects healed completely at two months following surgery. While final healing was ideal, partial necrosis of the mucosal flap and minimal postoperative bleeding were seen as complications in two cases.


CONCLUSIONS
Regardless of the size of the palatal defect created by the surgical excision of a PPA it heals ideally by secondary healing. However, the possibility of secondary bleeding and infection during the healing period should be kept in mind.
Alkan
Alper
A
Department of Oral and Maxillofacial Surgery, Erciyes University, Kayseri, Turkey. alperalkan@erciyes.edu.tr
Inal
Samet
S
D008949:Adenoma, Pleomorphic / Q000601:surgery*; D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000601:surgery; D009336:Necrosis / Q000209:etiology / Q000628:therapy; D019647:Oral Surgical Procedures / Q000009:adverse effects / Q000379:methods; D010157:Palatal Neoplasms / Q000601:surgery*; D021362:Palate, Hard; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000628:therapy; D019651:Plastic Surgery Procedures / Q000379:methods*; D012468:Salivary Gland Neoplasms / Q000601:surgery*; D012470:Salivary Glands, Minor / Q000601:surgery*; D013524:Surgical Flaps; D014945:Wound Healing