RESUMO
In this article vascular considerations for orthognathic procedures in the maxilla will be discussed. Specific topics to be included are as follows: (1) What are the potential sequelae from vascular compromise? (2) What is the normal vascular supply to the maxilla? (3) What recommendations are there for minimizing avascular sequelae in maxillary surgery? (4) What does one do when significant avascular sequelae occur? It is the intent of this article to help the orthognathic surgeon reduce the potential for avascular complications when performing the various maxillary osteotomies and ostectomies via a better appreciation for the important subtleties of surgical technique.
Assuntos
Maxila/cirurgia , Fissura Palatina/cirurgia , Humanos , Maxila/irrigação sanguínea , Osteotomia/efeitos adversos , Osteotomia/métodos , Técnica de Expansão Palatina , Complicações Pós-Operatórias/prevenção & controle , Fluxo Sanguíneo RegionalRESUMO
The superior based pharyngeal flap operation for the correction of velopharyngeal incompetence is perhaps the most commonly employed operation used today in a majority of cleft palate centers. However, inconsistent results with this operation are commonplace. This is believed by most to be due to poor control of the lateral portals. Herein is a report of our approach to improve lateral portal control.