Rose-trellis periosteal release in oral mucosal advancement flaps in pigs

Copyright © 2020. Published by Elsevier Ltd..

The aims of this study were to find out whether scoring in a rose-trellis pattern improved the stretch of mucoperiosteal flaps more than conventional scoring in the horizontal plane, and to consider its application in the closure of oroantral communications. Sixteen sections of cadaveric porcine buccal mucoperiosteum were removed from the molar region of the maxilla and mandible. A three-sided flap was raised in the subperiosteal plane, excised, and pinned to a cork board with the periosteal side facing upwards. Eight samples were scored in the horizontal plane (control) using lines perpendicular to the line of simulated advancement, and eight in a rose-trellis or criss-cross pattern. Scoring using a rose-trellis pattern yielded a mean increase in stretch of 24.3% (p=0.0003) when compared with the conventional method. Buccal advancement flaps are widely used to close oroantral communications, and scoring of the mucoperiosteum facilitates the stretching of the tissue over the defect. To be successful, defects should be fully closed to prevent contamination, and closure should be tension-free. In this study, scoring in a rose-trellis pattern increased the stretch of the tissue sample more than scoring in the horizontal plane. The rose-trellis technique therefore could aid the effective closure of oroantral communications.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:58

Enthalten in:

The British journal of oral & maxillofacial surgery - 58(2020), 5 vom: 01. Juni, Seite 542-545

Sprache:

Englisch

Beteiligte Personen:

Kelly, R [VerfasserIn]
Cereceda-Monteoliva, N [VerfasserIn]
Frezzini, C [VerfasserIn]
Walker, T W M [VerfasserIn]
Cobb, A R M [VerfasserIn]
Ayliffe, P [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Mucoperiosteum
Oro-antral communication
Rose-trellis
Stretch

Anmerkungen:

Date Completed 14.10.2020

Date Revised 31.05.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.bjoms.2020.02.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM308310039