OBJECTIVETo summarize the application of 909 anterolateral thigh myocutaneous flaps in the repair of oral and maxillofacial defects and to examine their benefits in maxillofacial reconstruction of these defects.

METHODSPatients were recruited from January 2004 to December 2012 in the Department of Oral and Maxillofacial Surgery of the Second Xiangya Hospital of Central South University. All patients underwent reconstructive surgery with anterolateral thigh myocutaneous flaps, and patient age ranged from 19 to 81 years with a mean of 51.2 years. There were 761 flaps showing single lobe and 148 flaps showing a multi-island pedicle. The largest area among the single flaps was 28 cm × 12 cm, and the smallest was 4 cm × 2 cm.

RESULTSAmong the 909 transferred flaps, 882 survived and 27 showed necrosis, with a survival rate of about 97.0%. The common complications at flap donor site were poor wound healing 9.6% (87/909), localized paresthesia 61.0% (500/820), and altered quadriceps force 15.0% (123/820). No case was presented with local serious complications, and 90% of the patients achieved good functional recovery and aesthetically acceptable results after the reconstruction by anterolateral thigh myocutaneous flaps.

CONCLUSIONSThe anterolateral thigh myocutaneous free flaps are more suitable for oral and maxillofacial defects than other flaps and should be preferred.

Humans ; Myocutaneous Flap ; transplantation ; Oral Surgical Procedures ; methods ; Reconstructive Surgical Procedures ; methods ; Surgery, Oral ; methods ; Thigh

Cleft Lip ; surgery ; Humans ; Oral Surgical Procedures ; methods

OBJECTIVETo introduce the applied anatomy of pedicled buccal fat pad (BFP) graft and a series of histological changes in the healing process of BFP as an uncovered pedicled graft.

METHODSThe healing processes of BFP are demonstrated via uncovered pedicled grafts on rabbits in histological examination. Uncovered buccal fat pads were used to repair soft tissue defects in rabbit oral cavities.

RESULTSThe uncovered buccal fat pads showed complete epithelialization of their oral surfaces at 6 to 8 weeks after surgery and were slowly replaced by fibrous tissue.

CONCLUSIONSAdvantages of the pedicled buccal fat pad graft include an anatomic region that is consistent and easy to excise. The operation can be performed in one incision, affecting neither appearance nor function of the area. Use of the buccal fat pad provides a good reconstruction of soft tissue defects in the mouth.

Adipose Tissue ; transplantation ; Animals ; Cheek ; Female ; Male ; Oral Surgical Procedures ; methods ; Rabbits ; Reconstructive Surgical Procedures ; methods ; Surgical Flaps ; Wound Healing

Humans ; Oral Surgical Procedures ; education ; methods ; Surgery, Oral ; education ; manpower ; trends

A new method using the ideal mid-facial line as the navigating reference was introduced to improve the outcome of cleft lip repair. Using the verticle coordinate crossing the middle point of the intercanthus line, surgeons could observe and correct the distortion of the fine structures in labial-nasal area. This laser projecting mid-facial-line navigation was repeatable, while not interfere the operating. In conclusion, generalizing laser navigation is a valuable supplementary for cleft lip repair.
Cleft Lip ; surgery ; Face ; Lasers ; Nose ; Oral Surgical Procedures ; methods ; Surgical Flaps ; Treatment Outcome

Computer Simulation ; Computer-Assisted Instruction ; methods ; Dental Models ; Humans ; Oral Surgical Procedures ; education ; Orthognathic Surgical Procedures ; education ; User-Computer Interface

Dental Implantation ; methods ; Humans ; Maxillary Sinus ; Oral Surgical Procedures, Preprosthetic ; Pressure ; Sinus Floor Augmentation ; methods

Humans ; Oral Surgical Procedures ; instrumentation ; methods ; Robotics ; instrumentation ; methods ; Surgery, Computer-Assisted ; instrumentation

OBJECTIVETo discuss the value of endoscopic technique in maxillofacial and neck regions.

METHODSThis retrospective review included 102 clinical patients with superficial masses in maxillofacial and neck regions. The indications, incisions, endoscopic space preparation and the key points of operative process were analysed.

RESULTAll of the results were satisfying.

CONCLUSIONThe endoscopic technique in treating superficial masses in maxillofacial and neck regions had the advantage of wide indications, multiple incision choices, easy control of operative layers and less complications. And the recent and remote effects were excellent.

Endoscopy ; methods ; Humans ; Neck ; surgery ; Oral Surgical Procedures ; methods ; Retrospective Studies ; Treatment Outcome

OBJECTIVETo evaluate the role of buccal-fat-pad flap in the lined coverage of the maxillary bone graft for the maxillary reconstruction after the tumor excision.

METHODSBased on the cadaver anatomical observation of the buccal-fat-pad, 38 patients with the maxillary tumors were undertaking the treatment in this paper. Under general anesthesia, the buccal-fat-pad flap was elevated and transferred to the anterior or nasal cavities as a line of the sinus after the tumor was immediately excised through an intro-oral or external approach. The bone from the ribs was then grafted in the place for the maxillary support.

RESULTSAfter the anatomical evaluation, 38 patients were carried out the operation successfully. All of the grafted bones were well covered without bone exposure. The aesthetic appearance was achieved.

CONCLUSIONBone graft lined by the pedicled buccal fat pad flap may be a safe and good method for reconstruction of the maxilla with a lower rate of re-absorption and sequestration.

Adipose Tissue ; transplantation ; Aged ; Bone Transplantation ; methods ; Cheek ; Humans ; Maxilla ; surgery ; Maxillary Neoplasms ; surgery ; Oral Surgical Procedures ; methods ; Reconstructive Surgical Procedures ; methods ; Ribs ; transplantation ; Surgical Flaps