ELIMINATION OF THE DEFECT OF THE ALVEOLAR CEST WITH A VASCULARIZED PALATINE FLAP
Kh. M. Magomedova,
V. A. Sletova,
K. S. Gandylyan,
I. V. Gabbasova,
A. V. Kononenko,
A. M. Idrisova,
A. A. Sletov Abstract
Soft tissue augmentation is a narrow direction in the reconstruction of the jaw bones, the number of techniques increases every year, while the issues of integrating flaps outside the axial type of blood supply remain relevant [1, 2]. The development of a minimally invasive method with the creation of an optimal blood supply will allow recreating the architectonics of soft tissue structures for a stable result and the subsequent possibility of bone augmentation with extended mandibular defects. Target. Clinical approbation of a vascularized palatal mucoperiosteal flap to eliminate the defect of the alveolar ridge.
Materials and methods. 42 patients underwent defect repair using a vascularized mucoperiosteal flap and 31 patients using standard free flaps.
Results and discussion. In the early postoperative period on the 12th day the restoration of soft tissue structures in a volume of at least 2 cm2, along the top of the alveolar ridge, a height of at least 16 mm, a thickness of at least 20 mm. One month after surgery, the height is not less than 15 mm, the thickness is not less than 20 mm, the volume is about 2 cm2. By the end of the third month, the indicators remained stable and corresponded to the previous figures, which indicates the absence of a shrinkage mechanism and the stability of soft tissue structures. 31 patients who have previously undergone augmentation using free grafts note a significant difference in the volume of the intervention and note its effectiveness in comparison with the previous one.
Conclusions. The use of a vascularized palatal mucoperiosteal flap is justified by its incomparable capabilities. After it’s taken, it is possible to restore soft tissues with an area of 3.5 cm2 or more. The risk of postoperative shrinkage is minimal due to adequate blood supply. Identical morphological characteristics of the oral mucosa are fundamental in solving aesthetic issues in dental implantation.
About the Authors
Kh. M. Magomedova
Dagestan State Medical University, Ministry of HealthCare of the Russian Federation
Russian Federation
Russian Federation
Magomedova Khadijat Magomedovna, assistant of the Department of Surgical Dentistry and Maxillofacial Surgery
Tel. +7‑962‑345‑36‑78
V. A. Sletova
Volgograd State Medical University, Ministry of HealthCare of the Russian Federation
Russian Federation
Russian Federation
Sletova Valeria Alexandrovna, resident of the Department of Maxillofacial Surgery
K. S. Gandylyan
Stavropol State Medical University, Ministry of HealthCare of the Russian Federation
Russian Federation
Russian Federation
Gandylyan Kristina Semyonovna, candidate of Medical Sciences, Professor of the Department of Surgical Dentistry and Maxillofacial Surgery
Tel. +7‑928‑563‑99‑76
I. V. Gabbasova
Pyatigorsk Medical and Pharmaceutical Institute, branch of the Volgograd State Medical University of the Ministry of HealthCare of the Russian Federation
Russian Federation
Russian Federation
Gabbasova Irina Victorovna, lecturer in the Department of Clinical Dentistry with a course of Surgical Dentistry and Maxillofacial Surgery
Tel. 7‑989‑850‑89‑99
A. V. Kononenko
Rostov State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Kononenko Vladimir Ivanovich, MD, Professor, Head of the Department of Surgical Dentistry and Maxillofacial Surgery
Tel. +7‑962‑442‑65‑55
A. M. Idrisova
Dagestan State Medical University, Ministry of HealthCare of the Russian Federation
Russian Federation
Russian Federation
Idrisova Asiyat Magomedovna, assistant of the Department of Surgical Dentistry and Maxillofacial Surgery
Tel. +7‑918‑456‑37‑21
A. A. Sletov
Russian Federation
Sletov Alexander Anatolievich, MD, professor, Head of Department of Clinical Dentistry with a course of Surgical Dentistry and Maxillofacial Surgery
Tel. +7‑962‑446‑59‑86
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For citations:
Magomedova Kh.M., Sletova V.A., Gandylyan K.S., Gabbasova I.V., Kononenko A.V., Idrisova A.M., Sletov A.A. ELIMINATION OF THE DEFECT OF THE ALVEOLAR CEST WITH A VASCULARIZED PALATINE FLAP. International journal of Innovative Medicine. 2023;(1):15-18.
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