ORAL MAXILLO-FACIAL Surgical Procedure
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A number of components contribute to flap failure. Poor flap design is one in every of the most common causes of flap failure. Inadequate flap dimension, violation of the blood provide to the flap, or design of the flap in radiated or traumatized tissue often causes early problems within the surgical process. Technical errors comparable to injuring the blood supply throughout 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 stress on the flap and result in necrosis. Infection also may cause partial or complete flap necrosis. The donor site is another potential source of complications (eg, vital scarring, wound dehiscence, poor skin graft acceptance if the wound was grafted). Advancement flap: The rectangular flap advances right into a rectangular defect. The red triangular excisions are Burow triangles, which could also be used to adjust the tension of closure.
Rotational flap: The semicircular flap rotates into a triangular defect. The purple triangular excision is a Burow triangle, which could also be used to adjust the tension of closure.
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