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Previously, several techniques such as the rotational flap procedures (laterally sliding flap, double papilla flap, oblique rotated flap), advanced flap procedures (CPF, semilunar CPF), and regenerative procedures (with barrier membrane or application of enamel matrix proteins) have been introduced for root coverage [4].
McGuire and Scheyer tested the CM associated to a coronally advanced flap in recession defects [28].
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No attempt was made to advance the flap to cover the socket areas on control or experimental sites (open socket approach).
A left latissimus dorsi rotational flap was mobilized and the catheters were advanced through the flap, with careful attention to avoid its vascular pedicle (Fig. 2a).
Because the blades are attached to a rotor hub by horizontal flapping hinges, which permit their movement in a vertical plane, the advancing blade flaps up, decreasing its angle of attack, while the retreating blade flaps down, increasing its angle of attack.
This is not the case with advancement designs in which a number of perforators can be preserved and the flap advanced without risk of the perforators twisting on their axis.
H-flap or double advancement flap: 45207.
Then, the SMAS flap was advanced to the mandible angle and sutured with SCM muscle flap (Fig. 4b).
Attempts to close directly the anterolateral thigh free flap donor site failed in two patients with large flaps and V Y anteromedial thigh perforator flaps were advanced to close the defect.
The flap was advanced in a V-to-Y fashion into the defect (Fig. 2).
The elevated composite toe flap was advanced and the bone was fixed rigidly for 1 2 months after the operation.
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