Evaluation of the Galea-pericranium Flap in Reconstruction of Oral Cavity Defects
IRCCS Azienda Ospedaliero-Universitaria di Bologna
5 participants
Jan 11, 2025
INTERVENTIONAL
Conditions
Summary
The overall objective of this study is to evaluate the safety of using the galea and pericranium (fascio-periosteal) temporal flap in the reconstruction of mandibular gingival defects.
Eligibility
Inclusion Criteria5
- Patients aged ≥18 years;
- Patients with mandibular gingival defects involving the anterior or lateral aspect of the mandible;
- Patients in whom basal structural integrity of the mandibular bone is maintained;
- Patients with a minimum follow-up of 3 months;
- Obtaining informed consent.
Exclusion Criteria1
- Patients with history of previous surgery that bilaterally altered the superficial temporal vasculature.
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
In our surgical approach, we have used periosteum, galea, or pericranium flaps for reconstruction of bone and tissue defects in the cervicofacial region, with excellent results. To treat mandibular osteoradionecrosis, we harvested periosteum flaps from the radius, demonstrating efficacy in bone regeneration. For minor defects, such as those of the nose, we used flaps from the medial femoral condyle, despite the complexity of harvesting. The cranial region, particularly the temporo-parietal area, offered excellent vascularization, allowing the use of revascularized flaps for reconstruction of the oral mucosa after removal of carcinomas. These flaps have also been effective in the treatment of pharyngeal fistulas, proving to be a functionally reliable solution for oral cavity and cervicofacial defects.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06714760