Le Fort I osteotomy and the use of bilateral bichat bulla adipose flap: an effective new technique for reconstructing oronasal communications due to cocaine abuse

Giulio Gasparini, Sandro Pelo, Gianluigi Longobardi, Roberto Boniello

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11 Citazioni (Scopus)

Abstract

The aim of the study was to describe a new and effective method for reconstructing small- and medium-sized oronasal communications in cases of deficient blood supply of oronasal mucosa.A male patient, aged 45, was presented with a hard palate defect due to chronic cocaine inhalation. The defect was corrected using bilateral Bichat bulla adipose flap and a Le Fort I osteotomy. The surgical technique was described, together with its advantages. Surgery lasted 2 hours. The reconstructive technique had been easy to execute. Six months after the surgery, the defect has been corrected without complications.Le Fort I osteotomy and the use of a bilateral Bichat bulla adipose flap is an effective technique to correct small- and medium-sized palatal defects not solvable with simple oral mucosa flaps. The technique is easy to execute and it showed a high efficacy with minimal impact on the patient's esthetic appearance.
Lingua originaleEnglish
pagine (da-a)49-52
Numero di pagine4
RivistaAnnals of Plastic Surgery
Volume60
DOI
Stato di pubblicazionePubblicato - 2008

Keywords

  • Adipose Tissue
  • Cocaine-Related Disorders
  • Humans
  • Male
  • Middle Aged
  • Nose Diseases
  • Oral Fistula
  • Osteotomy, Le Fort
  • Palate
  • Respiratory Tract Fistula
  • Surgical Flaps

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