title: Delayed closure of the palatal defect using buccal inversion and palatal rotation flaps after maxillectomy.
abstract: Maxillectomy leaves oronasal and oroantral defects that result in functional impairment of mastication, deglutition, and speech. Many treatment options are suggested and tried including the palatal flap as local flap. Although palatal flaps have been used to repair various oral cavity defects, they have certain limitations due to the dimensions. The amount and location of the palatal tissues available are important for palatal repair. Secondary intentional healing after maxillectomy will allow the epithelialization of the defect margin adjacent to remained palate, and there will be more mucosa that is available for closure of the defect. We delayed the closure of the palatal defect, while the patient underwent prosthetic treatment for functional recovery in 5 maxillectomy patients. Delayed closure of palatal defect with local flap was done at 10.8 ± 7.9 months after the maxillectomy. While delayed closure in hemimaxillectomy patients left postoperative fistula, it provided separation of the oral cavity and nasal/sinus cavity and adequate surface for prosthesis in partial maxillectomy patients.
authors.affiliation: Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University, Gwangju, Korea.
authors.forename: Seunggon
authors.initials: S
authors.lastname: Jung
authors.forename: Min-Suk
authors.initials: MS
authors.lastname: Kook
authors.forename: Hong-Ju
authors.initials: HJ
authors.lastname: Park
authors.forename: Hee-Kyun
authors.initials: HK
authors.lastname: Oh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008441:Maxillary Neoplasms / Q000601:surgery*; D008875:Middle Aged; D009061:Mouth Mucosa / Q000601:surgery; D010158:Palatal Obturators; D010159:Palate / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome