Exact(6)
Apart from the primary closure technique, Halsnad et al. suggested the use of titanium plate for primary reconstruction of the osseous defect [7].
If the size of the cleft site is large, the excessive tension causes the failure of the primary closure, especially in the palatal side.
The primary closure could be more secure if the septal defect was "sandwiched" between two patches as was successfully employed in the right ventricular approach [4].
The primary closure of the interdental space is one of the most significant factors which can affect the outcomes after periodontal regenerative surgery [ 35, 36].
However, the primary closure of the donor site after flap harvest limits the size and location of the pedicled perforator flap on the face.
This procedure was not elected in this case, as the significant size of the defect and large patient size would have created a large amount of tension on the ventral midline and body wall, likely causing dehiscence of the primary closure as well as potential failure of the mesh.
Similar(54)
The reconstruction methods used were skin grafts in 38.9% of the patients, primary closure in 27.8%, local flaps in 23.3%, and free flaps in 10.0%.
Previous reconstruction methods of whistling deformity have been limited in volume due to the necessity for primary closure of the donor site.
This approach is limited only by the possibility of primary closure of the donor site.
After we controlled for the size of the defect and the amount of bowel resected, the odds of primary closure given a vaginal delivery was about half that given a cesarean delivery (odds ratio, 0.56; 95% confidence interval, 0.18-1.69), buthisis was not statistically significant.
Zannis et al compared wet-dry saline dressings with NPWT assisted closure, and found that NPWT significantly increased the rate of primary closure and reduced the time to closure.
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