PMC2772276_01
Inferior maxillectomy defect
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This resulted in a Class IIa defect according to classification of maxillectomy defects by Brown et al.[Figure 1].
Flap marking with inked needle
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The margin of the flap was marked with a hypodermic needle dipped in methylene blue, the tip of the needle needed to reach the subcutaneous layer [Figure 2].
Suprafascially-raised skin, a layer of fat retained on the fascia
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The skin flap was elevated in the subcutaneous plane to leave the layer of adipose tissue on the fascia [Figure 3].
Adiposo-fascial flap with the pedicle
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The fascia with fat, incised along the dye markings, was harvested based on the radial artery [Figure 4].
Dental rehabilitation with removable dentures
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The flap underwent some amount of contraction providing a taut immobile base for the prosthetic dental rehabilitation [Figure 5].
Reconstruction outcome after 2 years of follow-up
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Figure 6 shows a view of the palate well mucosalized with no intraoral hair at the end of 2 year follow-up.