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Nasopalatine Island Advancement Flap.

BACKGROUND: Anterior maxilla is a high esthetic region of the mouth. Some flaps are introduced for bone graft coverage, mainly based on secondary epithelization of connective tissue-periosteal tissues. This article evaluates the versatility of a new mucoperiosteal flap for reproducible coverage in anterior maxilla.

METHODS: In 5 mongrel dogs a 5 mm width mucosal defect in labial mucosa was created after extraction of upper jaw incisors. Nasopalatine island advancement flap was used for mucosal replacement.

RESULTS: Flap survival and healing was uneventful without necrosis.

CONCLUSION: Nasopalatine island advancement flap is a reliable axial island flap for anterior maxillary reconstruction.

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