BACKGROUND Tunneled transposition of the facial artery myomucosal (FAMM) island flap on the lingual side of the mandible has been reported for intraoral as well as oropharyngeal reconstruction. This modified technique overcomes the limitations of short range and dentition and further confirms the flexibility of the flap. This paper presents a case of reconstructing secondary soft palatal defect...

The understanding of palatine vault growth in normal subjects is important to orthodontists. The aim of this study was to evaluate three dimensional (3D) longitudinal changes in the palatal vault from 6 to 14 years of age. Complete dental stone casts were biennially prepared for 50 subjects (25 girls and 25 boys) followed up from 6 to 14 years of age. Virtual casts were constructed using 3D las...

In the repair of lip defects, the reconstructive surgeons’ goals are to preserve lip function and achieve an aesthetically acceptable outcome. When choosing the type of repair, to the surgeon considers the defect’s size and location. Mucosal grafts, such as those taken from labial, buccal, and palatal mucosa, are typically used for lip reconstruction [14]. Free mucosal grafts have several advan...

BACKGROUND Palatal obturators and microvascular free flaps are both used to treat patients with maxillectomy defects, however, the optimal technique remains controversial. METHODS A retrospective analysis of 113 patients undergoing maxillectomy for cancer was performed. Seventy-three patients received an obturator and 40 patients were reconstructed with a free flap. RESULTS Speech intelligi...

PATIENT A 70-year-old patient with reconstructed mandibulectomy presented to our clinic with a complaint of denture instability. Due to left mandibular gingival cancer, she had received segmental resection of the left mandible and reconstruction with the fibula. An intraoral examination revealed few intermaxillary occlusal contacts due to the deviation of the mandibular dental arch. A mandibula...

SUMMARY Residual palatal fistula after repair of palatal cleft is common. Repair of residual oronasal fistula is not always successful. Two-layer closure techniques that close these fistulas with soft tissue are a common practice. Turnover flaps are the most used flaps and often the sole method for nasal-side closure of fistula. Anteriorly based inferior turbinate flap can be used to provide so...

BACKGROUND AND AIM: Maxillofacial defects due to malignant or benign tumors or congenital defects often result in complications such as the impairment of facial aesthetic, mastication, speech, and swallowing. Remedy of these defects, especially in a dentate patient is an important challenge in prosthodontics. Maxillectomy can lead to severe anatomical changes f...