Local Flaps for Functional and Esthetic Reconstruction of Oro-Facial Defects - A Case Series

Abstract

Background: Management of varied pathologic, traumatic and congenital lesions of oral and maxillofacial region demands resection in partial or total along with surrounding structures producing defects of varying sizes. Arguably, the greatest challenge within oral and maxillofacial surgery is reconstruction following major trauma or oncologic ablative surgery that restores pre- morbid quality of life. Even small facial defects can lead to cosmetic deformity and impacts significantly on patient’s psychological well-being if not reconstructed properly. Owing to the aesthetics and functional concern, oral and maxillofacial soft tissue reconstruction requires meticulous planning with team approach. And is a technically demanding and time-consuming process because of the specialized functions of the tissues involved.

Among various reconstructive options, local flaps being located within the vicinity of the defect carry advantage of close resemblance to the missing skin in color and texture and the thickness can often be tailored to the needs of the defect. These local flaps can be advanced, transposed or rotated into position to reconstruct the defect. As these flaps heal, regaining of blood flow and cutaneous sensibility increases.

Aim of this paper is to share an institutional based case series in using various local flaps for the reconstruction of oral and maxillofacial defects.