Omental Flap for Cheek, Neck, and Intraoral Reconstruction



Omental Flap for Cheek, Neck, and Intraoral Reconstruction


S. K. DAS

M. A. LESAVOY



The good vascularity, unique arrangement of blood vessels, and ability to accept skin grafts with ease allow the omentum, which is dispensable, to be an excellent salvage flap.




ANATOMY



FLAP DESIGN AND DIMENSIONS

For pedicle transfer of the omentum from within the abdominal cavity to distal targets, such as the neck or face, various lengthening procedures are mandatory (5, 6, 7, 8). Following omentocololysis (6), there is a gain in omental length of 2 to 12 cm. For the omentum to reach the neck, however, omentogastrolysis (freeing of the omentum from the greater curvature of the stomach, based on a right or left gastroepiploic pedicle) is necessary. Usually, the right gastroepiploic vessels are larger than the left, and at least one other major artery should be preserved and left attached to the stomach. The gastroepiploic arch is maintained with the omentum (Fig. 191.1).

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Jun 26, 2016 | Posted by in General Surgery | Comments Off on Omental Flap for Cheek, Neck, and Intraoral Reconstruction
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