Experiences and challenges in a developing country. Turk J Plast Surg 2018;26:169-73.

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Braimah, R O
Taiwo, AO
Ibikunle, A A
Gbotolorun, O M
Adeyemi, M
Mujtaba, B
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Turk J Plast Surg
Maxillofacial and oral defects are complex to reconstruct because of the intricate nature of tissues. The aim of this study is to present our experience in maxillofacial and oral soft‑tissue defects reconstruction using regional flaps. Patients and Methods: This is a retrospective study of maxillofacial and oral soft‑tissue reconstruction (MFOSTR) in the Department of Dental and Maxillofacial Surgery of a University Teaching Hospital, northwest Nigeria, over a 4 years’ period. Data such as age, sex, diagnosis, type of flap used, complications, and prognosis were collected and analyzed with IBM SPSS Statistics for Windows Version 20 (Armonk, NY, USA: IBM Corp). Results: A total of 64 MFOSTRs were performed during the study out of which 22 (34.4%) were done using regional flaps. They consist of 10 (45.5%) males and 12 (54.5%) females, with a male: female ratio of 0.8:1. Cancrum oris (17 [77.3%]) was the main indication for regional flap utilization in the MFOSTR. Deltopectoral flap (18 [81.8%]) was the most commonly used flap in our series. Other flaps used were; pectoralis major 3 (13.6%) and latissimus dorsi 1 (4.5%) flaps. Total flap failure was observed in 3 (13.6%). Conclusion: Despite personnel and infrastructure deficit in developing countries, especially sub‑Saharan Africa, maxillofacial and oral reconstruction in our hospital has achieved some success. Patient selection is important for overall flap success.
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Deltopectoral , Maxillofacial , Pectoralis major , Latissimus dorsi , Research Subject Categories::ODONTOLOGY
Braimah, R.O. [Et...al] (2018). Regional flaps in maxillofacial and oral soft-tissue reconstruction: Experiences and challenges in a developing country. Turk J Plast Surg, Vol.26:169-73pp.