{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T12:58:29Z","timestamp":1781787509192,"version":"3.54.5"},"reference-count":73,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>Palatal necrosis after palatoplasty in patients with cleft palate is a rare but significant problem encountered by any cleft surgeon. Few studies have addressed this disastrous complication and the prevalence of this problem remains unknown. Failure of a palatal flap may be attributed to different factors like kinking or section of the pedicle, anatomical variations, tension, vascular thrombosis, type of cleft, used surgical technique, surgeon\u2019s experience, infection, and malnutrition. Palatal flap necrosis can be prevented through identification of the risk factors and a careful surgical planning should be done before any palatoplasty. Management of severe fistulas observed as a consequence of palatal flap necrosis is a big challenge for any cleft surgeon. Different techniques as facial artery flaps, tongue flaps, and microvascular flaps have been described with this purpose. This review article discusses the current status of this serious complication in patients with cleft palate.<\/jats:p>","DOI":"10.1155\/2015\/516375","type":"journal-article","created":{"date-parts":[[2015,7,26]],"date-time":"2015-07-26T17:02:29Z","timestamp":1437930149000},"page":"1-14","source":"Crossref","is-referenced-by-count":47,"title":["Flap Necrosis after Palatoplasty in Patients with Cleft Palate"],"prefix":"10.1155","volume":"2015","author":[{"given":"Percy","family":"Rossell-Perry","sequence":"first","affiliation":[{"name":"Post Graduate Studies, School of Medicine, San Martin de Porres University, Lima, Peru"},{"name":"\u201cOutreach Surgical Center Lima PERU\u201d ReSurge International, Schell Street No. 120 Apartment 1503 Miraflores, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"key":"1","year":"2014"},{"issue":"6","key":"2","first-page":"529","volume":"30","year":"2007","journal-title":"Chang Gung Medical Journal"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.4103\/1595-1103.141384"},{"issue":"5","key":"4","doi-asserted-by":"crossref","first-page":"1614","DOI":"10.1097\/SCS.0000000000001113","volume":"25","year":"2014","journal-title":"Journal of Craniofacial Surgery"},{"issue":"1","key":"5","first-page":"51","volume":"18","year":"1981","journal-title":"The Cleft Palate-Craniofacial Journal"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-002-0012-y"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199709001-00004"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-008-0432-4"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2011.100619"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1159\/000146572"},{"issue":"3","key":"11","first-page":"635","volume":"184","year":"1994","journal-title":"Journal of Anatomy"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.2334\/josnusd.52.109"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2011.10.011"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1002\/ca.1059"},{"issue":"9","key":"15","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1111\/jcpe.12288","volume":"41","year":"2014","journal-title":"Journal of Clinical Periodontology"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.5115\/acb.2013.46.3.171"},{"issue":"4","key":"17","first-page":"231","volume":"5","year":"2008","journal-title":"Perio\u2014Periodontal Practices Today"},{"issue":"1","key":"18","first-page":"1","volume":"14","year":"1977","journal-title":"Cleft Palate Journal"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1097\/mlg.0b013e318093ee8d"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.4067\/s0717-95022012000300014"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199809010-00007"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800259715"},{"issue":"5","key":"23","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1097\/00000658-193205000-00001","volume":"95","year":"1932","journal-title":"Annals of Surgery"},{"key":"24","first-page":"113","volume":"10","year":"1973","journal-title":"Cleft Palate Journal"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1597\/12-051"},{"issue":"3","key":"26","first-page":"206","volume":"19","year":"1982","journal-title":"The Cleft Palate Journal"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2012.05.005"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1054\/jcms.2001.0199"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1016\/s0007-1226(62)80062-9"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197409000-00010"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1016\/s1071-0949(06)80036-3"},{"issue":"5","key":"32","first-page":"439","volume":"73","year":"2013","journal-title":"Journal of the Showa University Society"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000000832"},{"issue":"3","key":"34","first-page":"66","volume":"72","year":"1993","journal-title":"Stomatologiya"},{"issue":"2","key":"35","first-page":"115","volume":"19","year":"2006","journal-title":"Cirug\u00eda Pedi\u00e1trica: Organo Oficial de la Sociedad Espa\u00f1ola de Cirug\u00eda Pedi\u00e1trica"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0b013e31823aea7e"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2009.04.022"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.1597\/03-108.1"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1597\/04-083R.1"},{"key":"40","doi-asserted-by":"publisher","DOI":"10.1597\/08-187.1"},{"key":"41","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197905000-00029"},{"key":"42","year":"1931"},{"key":"43","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2013.2537"},{"key":"44","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200011000-00003"},{"issue":"3","key":"45","first-page":"60","year":"2010","journal-title":"Vestnik Otorinolaringologii"},{"key":"46","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199209000-00009"},{"key":"47","doi-asserted-by":"publisher","DOI":"10.1597\/12-115"},{"issue":"2","key":"48","first-page":"110","volume":"26","year":"1989","journal-title":"Cleft Palate Journal"},{"key":"49","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1322533"},{"issue":"2","key":"50","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1597\/1545-1569(2000)037<0127:COPFWA>2.3.CO;2","volume":"37","year":"2000","journal-title":"Cleft Palate-Craniofacial Journal"},{"issue":"1","key":"51","first-page":"41","volume":"23","year":"1986","journal-title":"Cleft Palate Journal"},{"key":"52","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0b013e318199f80f"},{"key":"53","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182910b50"},{"key":"54","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000239612.35581.c3"},{"key":"55","doi-asserted-by":"publisher","DOI":"10.1016\/s0278-2391(03)00689-x"},{"key":"56","doi-asserted-by":"publisher","DOI":"10.1067\/moe.2002.126077"},{"key":"57","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199611000-00008"},{"key":"58","doi-asserted-by":"publisher","DOI":"10.1007\/bf02819725"},{"key":"59","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(89)80093-9"},{"key":"60","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(82)90174-4"},{"key":"61","doi-asserted-by":"publisher","DOI":"10.1016\/S1042-3699(03)00065-7"},{"key":"62","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000110370.67325.ED"},{"key":"63","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0b013e31823197d8"},{"issue":"5","key":"64","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1597\/1545-1569(2002)039<0560:MTTFRO>2.0.CO;2","volume":"39","year":"2002","journal-title":"The Cleft Palate-Craniofacial Journal"},{"key":"65","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-958655"},{"key":"66","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-199711000-00013"},{"issue":"3","key":"67","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1597\/1545-1569(1996)033<0255:PMEAAA>2.3.CO;2","volume":"33","year":"1996","journal-title":"The Cleft Palate-Craniofacial Journal"},{"key":"68","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199405000-00039"},{"issue":"6","key":"69","volume":"62","year":"2011","journal-title":"Acta Otorrinolaringologica Espa\u00f1ola"},{"issue":"1","key":"70","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1597\/1545-1569(1998)035<0081:AANCRF>2.3.CO;2","volume":"35","year":"1998","journal-title":"The Cleft Palate-Craniofacial Journal"},{"key":"71","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0b013e31821d17bd"},{"issue":"4","key":"72","first-page":"286","volume":"22","year":"1985","journal-title":"Cleft Palate Journal"},{"key":"73","doi-asserted-by":"publisher","DOI":"10.1590\/s0103-64402009000400013"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2015\/516375.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2015\/516375.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2015\/516375.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,23]],"date-time":"2017-06-23T12:26:00Z","timestamp":1498220760000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/bmri\/2015\/516375\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":73,"alternative-id":["516375","516375"],"URL":"https:\/\/doi.org\/10.1155\/2015\/516375","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}