Nasolabial Flap in Maxillofacial Gunshot Trauma: A Case Series

Introduction: The nasolabial flap (NLF) has many advantages in oromaxillary reconstruction, but the majority of cases are reconstructions after pathologic resections. Its usage in trauma surgery, especially in the management of gunshot wounds, is rarely mentioned. Case Presentation: Three cases involving gunshot injuries to the face are presented: one for reconstruction of the nasal ala, another for bone graft coverage in mandibular reconstruction, and the third for the repair of premaxillary hard and soft tissue avulsive defects. Conclusions: The NLF is a thin, pliable flap and is useful for intraoral and facial reconstruction of trauma patients with small to moderate soft tissue loss

Esthetic Management of Gingival Lesions in Anterior Maxilla: The Role of VIP‑CT Flap, a Technical Note

Purpose: Anterior maxilla is a high esthetic demand region. Reconstruction of the soft tissue loss after pathologic resection needs special techniques. Materials and Methods: This article describes the novel use of vascularized interpositional periosteal connective tissue flap of palate (VIP‑CT) for reconstruction after resection of long‑lasting pyogenic granuloma in anterior maxilla with underlying bone resorption in interdental region. Results: Good esthetic results both in labial gingiva and interdental region were obtained. Conclusion: VIP‑CT flap is an ideal option for reconstruction of the pathologic lesions that affect the anterior maxilla and create pathologic space in interdental region.Keywords: Anterior maxilla, Pyogenic granuloma, VIP‑CT fla

Bone Suture in Management of Mandibular Degloving Injury

Traumatic degloving injuries of the mandible are rare intraoral soft tissue traumas. A simple review of the medical literature shows that no article up to this date has reported the prevalence of the degloving injuries of the mandible. Moreover, the highest incidence of mandibular degloving injuries is reported in children and young adults. In this article, the author describes the mandibular degloving injury, characterized by the separation of periosteum and soft tissues of the anterior buccal side of the mandible, and the bone suture technique. This article outlines that a correct diagnostic assessment and appropriate treatment plan can reduce the complications after mandibular degloving injuries.Key words: Bone suture, degloving, mandible, traum