Pedicle Orientation in Free-Flap Microvascular Maxillofacial Reconstruction.

Oncologic and traumatic defects of the maxilla can pose a challenge to patients, reconstructive surgeons, and maxillofacial prosthodontists in an attempt to provide satisfactory treatment. Oral-nasal and oral-antral fistulas are frequently treated with soft tissue flaps, osteocutaneous flaps, or a maxillofacial obturator. The free fibula microvascular osteocutaneous flap has proved the workhorse of these maxillary and mandibular reconstructions.

Lingual distribution of the human glossopharyngeal nerve.

Conclusion: Nineteenth century anatomical descriptions of the anterior distribution of cranial nerve (CN) IX on the dorsal tongue are contrary to current concepts. By employing Sihler's stain, we demonstrated that, in fact, CN IX projects more anteriorly than the posterior third of the tongue. This may explain why some patients whose chorda tympani branch of CN VII has been severed during middle ear surgery continue to have taste function in sectors of the anterior two-thirds of the tongue.