Pedicled temporoparietal galeal flap for reconstruction of intraoral defects.

OBJECTIVES: In this report we aim to describe the surgical technique required to utilize the pedicled temporoparietal galeal flap for repair of selected intraoral defects and to report our experience with this type of reconstructive procedure. METHODS: The charts of 6 consecutive patients submitted to reconstruction of intraoral defects using the pedicled temporoparietal galeal flap were reviewed. All of the defects were located in the posterior oral cavity and oropharynx. After resection of the oral cancer, the temporoparietal galeal flap, based on the superficial temporal vessels, was raised and transposed to the mouth through a tunnel under the zygomatic arch. The oral defect was repaired, and no skin graft was applied over the flap. RESULTS: There were no flap losses, and the reconstructive goal was achieved in all cases. The patients' deglutition and phonation abilities were restored, and the donor site scars were well hidden by hair growth. CONCLUSIONS: The pedicled temporoparietal galeal flap is another option for selected cases of reconstruction of intraoral defects--mainly those located in the posterior oral cavity and oropharynx, in which thin and pliable tissues are usually required.

Management of a large dentigerous cyst occurring in a six-year-old boy.

A case of dentigerous cyst in a six-year-old healthy Brazilian boy, who had a diagnostic hypothesis of ameloblastoma and keratocyst because of the extension and radiographic appearance is presented. The importance of a previous incisional biopsy and consequent conservative treatment is discussed.