ORAL MAXILLO-FACIAL Surgical Procedure

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A number of elements contribute to flap failure. Poor flap design is one in every of the most typical 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 issues within the surgical procedure. Technical errors reminiscent of injuring the blood provide throughout dissection, creating too much tension on the flap, or twisting or kinking the flap pedicle can cause flap ischemia and necrosis.

Hematoma may cause strain on the flap and result in necrosis. Infection additionally could 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 purple triangular excisions are Burow triangles, which may be used to adjust the tension of closure.

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


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