{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:10:22Z","timestamp":1756379422782,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,3,3]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Maxillectomy is done for a variety of disease conditions. Reconstruction following maxillectomy is done to restore the form and function. One of the important goals that are to be achieved in reconstruction is the separation of the oral and nasal cavities. In this article, we report the use of palatal flap by preserving the descending palatine artery during bilateral inferior partial maxillectomy, for separating the nasal cavity from the oral cavity. This technique eliminates the need for an obturator or another free or local flap for this purpose.<\/jats:p>","DOI":"10.1136\/bcr-2020-239006","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T12:46:28Z","timestamp":1615898788000},"page":"e239006","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Palatal flap in bilateral inferior partial maxillectomy"],"prefix":"10.1136","volume":"14","author":[{"given":"Daniel Sathiya Sundaram","family":"Selvaraj","sequence":"first","affiliation":[{"name":"Department of Dental and Oral Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pranay","family":"Gaikwad","sequence":"additional","affiliation":[{"name":"Department of General Surgery Unit 1, Christian Medical College and Hospital Vellore Department of Physiology, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jagadish","family":"Ebenezer","sequence":"additional","affiliation":[{"name":"Department of Dental and Oral Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,16]]},"reference":[{"key":"2025082803410465000_14.3.e239006.1","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S0022-3913(12)60071-7","article-title":"Classification of maxillectomy defects: a systematic review and criteria necessary for a universal description","volume":"107","author":"Bidra","year":"2012","journal-title":"J Prosthet Dent"},{"key":"2025082803410465000_14.3.e239006.2","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.joms.2014.08.036","article-title":"Challenges in the reconstruction of bilateral maxillectomy defects","volume":"73","author":"Joseph","year":"2015","journal-title":"J Oral Maxillofac Surg"},{"key":"2025082803410465000_14.3.e239006.3","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1002\/hed.21264","article-title":"Microvascular free flap reconstruction versus palatal obturation for maxillectomy defects","volume":"32","author":"Moreno","year":"2010","journal-title":"Head Neck"},{"key":"2025082803410465000_14.3.e239006.4","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.ijom.2019.08.014","article-title":"Anatomical and functional rehabilitation after total bilateral maxillectomy using a custom-made bone-anchored titanium prosthesis","volume":"49","author":"Gueutier","year":"2020","journal-title":"Int J Oral Maxillofac Surg"},{"key":"2025082803410465000_14.3.e239006.5","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.joms.2014.11.002","article-title":"Quality of life factors and survival after total or extended maxillectomy for sinonasal malignancies","volume":"73","author":"Murphy","year":"2015","journal-title":"J Oral Maxillofac Surg"},{"key":"2025082803410465000_14.3.e239006.6","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/S1042-3699(03)00061-X","article-title":"The palatal flap","volume":"15","author":"Ward","year":"2003","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"2025082803410465000_14.3.e239006.7","doi-asserted-by":"crossref","first-page":"94","DOI":"10.2174\/1874210601206010094","article-title":"Surgical options in oroantral fistula treatment","volume":"6","author":"Borgonovo","year":"2012","journal-title":"Open Dent J"},{"key":"2025082803410465000_14.3.e239006.8","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1097\/SCS.0b013e31827c8611","article-title":"Delayed closure of the palatal defect using buccal inversion and palatal rotation flaps after maxillectomy","volume":"24","author":"Jung","year":"2013","journal-title":"J Craniofac Surg"},{"key":"2025082803410465000_14.3.e239006.9","doi-asserted-by":"crossref","first-page":"209","DOI":"10.4103\/0019-509X.102862","article-title":"Preservation of palatal mucoperiosteum for oronasal separation after total maxillectomy","volume":"49","author":"Molumi","year":"2012","journal-title":"Indian J Cancer"},{"key":"2025082803410465000_14.3.e239006.10","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1002\/hed.26091","article-title":"Soft tissue reconstruction with anterior pedicled inferior turbinate flap in conjunction with palatal flap for standard inferior maxillectomy with hard palate resection","volume":"42","author":"Omura","year":"2020","journal-title":"Head Neck"},{"key":"2025082803410465000_14.3.e239006.11","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318184e719"},{"key":"2025082803410465000_14.3.e239006.12","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/S0278-2391(96)90528-5","article-title":"Location of the descending palatine artery in relation to the Le Fort I osteotomy","volume":"54","author":"Li","year":"1996","journal-title":"J Oral Maxillofac Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:41:13Z","timestamp":1756377673000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,16]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2020-239006"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239006","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}