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Dental Infection Cause of Flap Loss in Cleft Palate Repair

Jagtap, Rasika, MDS*; Deshpande, Gaurav, MDS*,†

doi: 10.1097/SCS.0000000000005523
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Flap necrosis is a very common complication encountered after cleft palate repair, especially in uni-pedicled flaps. Many causes have been attributed to this complication but very limited data is available in the literature on dental infection as the cause of flap necrosis. This report of a case describes loss of flap caused due to a periapical granuloma of dental origin impinging on the pedicle causing suspected thrombosis of the pedicle resulting in flap necrosis. Since this is an important cause that can be easily prevented, it is reported.

*MGM Dental College and Hospital, Navi Mumbai, India

Division of Plastic and Reconstructive Surgery, PennState Hershey School of Medicaine, Hershey, PA.

Address correspondence and reprint requests to Gaurav Deshpande, MDS, Department of Oral and Maxillofacial Surgery, MGM Dental College and Hospital, Sector 1, Kamothe, Navi Mumbai, Maharashtra 401209, India; E-mail: drgaurav82@gmail.com

Received 10 December, 2018

Accepted 20 February, 2019

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.