Local Flaps for Reconstruction of Retromolar Trigone Defects: A Literature Review
Restoring the soft and hard tissue continuity following mandibular resection due to various causes is one of the most demanding aspects of head and neck reconstructive surgery. A vascularised flap does not always suffice for restoration, especially in the region of the Retromolar Trigone (RMT). This...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2024-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/20422/76061_CE[Ra1]_F[SHU]_QC(PS_IS)_PF1(VD_SL)_redo_PFA(IS)_PB(VD_IS)_PN(IS).pdf |
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| Summary: | Restoring the soft and hard tissue continuity following mandibular resection due to various causes is one of the most demanding aspects of head and neck reconstructive surgery. A vascularised flap does not always suffice for restoration, especially in the region of the Retromolar Trigone (RMT). This highlights the versatility of local flaps in restoring the RMT. The article aims to collect and evaluate data to present salient notes on various local flaps in terms of their features, techniques for flap elevation, reviews of studies, and the advantages and disadvantages to assist clinicians in choosing a viable flap for RMT reconstruction. In the pursuit of restoring the RMT, small and medium-sized defects can benefit from local flaps such as the Buccinator flap, Masseter flap, Facial Artery Myomuscular Flap (FAMM), tongue flap, palatal flap, and Buccal Fat Pad (BFP) or Bichat’s flap. Being in close proximity to the RMT, these local flaps offer a broad range of productivity and richness comparable to vascularised free flaps. The wide applicability and adaptability of local flaps make them an excellent choice for oral and maxillofacial surgeons, facilitating functional and aesthetic restorations with a high success rate. |
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| ISSN: | 2249-782X 0973-709X |