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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JCDR Research and Publications Private Limited
2024-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| 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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| author | G Abhishek Iyer V Raj Kumar Priya Yadav Narasimha HP Murthy Sohini Gupta |
| author_facet | G Abhishek Iyer V Raj Kumar Priya Yadav Narasimha HP Murthy Sohini Gupta |
| author_sort | G Abhishek Iyer |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-928a7bdd4a1842b0bb311b8d68276b8b |
| institution | Kabale University |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-928a7bdd4a1842b0bb311b8d68276b8b2025-01-01T12:00:35ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-12-011812050910.7860/JCDR/2024/76061.20422Local Flaps for Reconstruction of Retromolar Trigone Defects: A Literature ReviewG Abhishek Iyer0V Raj Kumar1Priya Yadav2Narasimha HP Murthy3Sohini Gupta4Postgraduate, Department of Oral and Maxillofacial Surgery, Jaipur Dental College, Jaipur, Rajasthan, India.Head, Department of Oral and Maxillofacial Surgery, Jaipur Dental College, Jaipur, Rajasthan, India.Professor, Department of Periodontics, ESIC Dental College and Hospital, Rohini, New Delhi, India.Reader, Department of Oral and Maxillofacial Surgery, SJM Dental College and Hospital, Chitradurga, Karnataka, India.Postgraduate, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India.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.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).pdfbuccal fat padbuccinator flapfacial artery myomuscular flapmasseter flappalatal flaptongue flap |
| spellingShingle | G Abhishek Iyer V Raj Kumar Priya Yadav Narasimha HP Murthy Sohini Gupta Local Flaps for Reconstruction of Retromolar Trigone Defects: A Literature Review Journal of Clinical and Diagnostic Research buccal fat pad buccinator flap facial artery myomuscular flap masseter flap palatal flap tongue flap |
| title | Local Flaps for Reconstruction of Retromolar Trigone Defects: A Literature Review |
| title_full | Local Flaps for Reconstruction of Retromolar Trigone Defects: A Literature Review |
| title_fullStr | Local Flaps for Reconstruction of Retromolar Trigone Defects: A Literature Review |
| title_full_unstemmed | Local Flaps for Reconstruction of Retromolar Trigone Defects: A Literature Review |
| title_short | Local Flaps for Reconstruction of Retromolar Trigone Defects: A Literature Review |
| title_sort | local flaps for reconstruction of retromolar trigone defects a literature review |
| topic | buccal fat pad buccinator flap facial artery myomuscular flap masseter flap palatal flap tongue flap |
| url | 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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