ORAL MAXILLO-FACIAL Surgical Procedure

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A number of factors contribute to flap failure. Poor flap design is one of the most common causes of flap failure. Inadequate flap measurement, violation of the blood provide to the flap, or design of the flap in radiated or traumatized tissue usually causes early problems in the surgical process. Technical errors such as injuring the blood provide throughout dissection, creating an excessive amount of tension on the flap, or twisting or kinking the flap pedicle could cause flap ischemia and necrosis.

Hematoma could cause pressure on the flap and lead to necrosis. Infection additionally can cause partial or full flap necrosis. The donor site is one other potential source of complications (eg, vital scarring, wound dehiscence, poor skin graft acceptance if the wound was grafted). Development 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 pink triangular excision is a Burow triangle, which may be used to adjust the tension of closure.


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