ORAL MAXILLO-FACIAL Surgery

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Multiple elements contribute to flap failure. Poor flap design is one of the most common causes of flap failure. Inadequate flap dimension, violation of the blood supply to the flap, or design of the flap in radiated or traumatized tissue typically causes early problems in the surgical process. Technical errors similar to injuring the blood supply during dissection, creating a lot tension on the flap, or twisting or kinking the flap pedicle can cause flap ischemia and necrosis.

Hematoma can cause pressure on the flap and lead to necrosis. Infection additionally may cause partial or complete flap necrosis. The donor site is another potential source of complications (eg, significant scarring, wound dehiscence, poor skin graft acceptance if the wound was grafted). Advancement flap: The rectangular flap advances into a rectangular defect. The crimson triangular excisions are Burow triangles, which may be used to adjust the tension of closure.

Rotational flap: The semicircular flap rotates into a triangular defect. The red triangular excision is a Burow triangle, which may be used to regulate the tension of closure.


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