Periosteal Muscular Flap in Reconstruction of Small and Medium Sized Defects at Floor of the Mouth

the Versatility of Periosteal Muscular Flap in Reconstruction of Small and Medium Sized Defects at Floor of the Mouth

Background: Rebuilding head and neck defects is a chief challenge to the maxillofacial surgeons especially after cancer resection, trauma, infection and craniofacial deformities. Earlier, the use of obturators for many years has been a successful treatment plan. However, recently several surgical modalities are available for the restoration of such defects as locoregional or microvascular free flaps.

Aim: To assess the reliability of the lateral periosteal-muscular flap in the reconstruction of small and medium sized floor of the mouth defects.

Main outcome: To evaluate functional outcomes (Including speech, tongue mobility, deglutition, flap viability), pain, complications such as trismus, flap necrosis, dehiscence, infection, fistula formation or donor site morbidity and aesthetic outcomes. Mean harvesting time and flap dimensions will be recorded.

Inclusion Criteria:

• Patients requiring reconstruction of small and medium sized FOM defects.

Exclusion Criteria:

• Previous neck dissection.
• Previous radiotherapy in the maxillofacial region.
• Uncontrolled diseases that may contraindicate the surgery