ORAL MAXILLO-FACIAL Surgical Procedure

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Multiple factors contribute to flap failure. Poor flap design is considered one of the commonest causes of flap failure. Insufficient flap measurement, violation of the blood provide to the flap, or design of the flap in radiated or traumatized tissue often causes early problems in the surgical procedure. Technical errors reminiscent of injuring the blood supply during dissection, creating an excessive amount of tension on the flap, or twisting or kinking the flap pedicle may cause flap ischemia and necrosis.

Hematoma could cause pressure on the flap and result in necrosis. Infection also can cause partial or full 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 right into a rectangular defect. The crimson triangular excisions are Burow triangles, which could also be used to regulate the tension of closure.

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


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