Objective: To evaluate the therapeutic effect of hatchet flap for buccal tissue defect.
Methods: The hatchet flap was designed beside the tissue defect and advanced to cover the defect.
Results: Since 2006, 13 cases were treated with primary healing and no flap loss. The size of the flaps ranged from 1.8 cm x 2.0 cm to 2.5 cm x 3.5 cm. All the cases were followed up for 3 months to 1.5 years. The postoperative appearance was satisfactory with inconspicuous scar.
Conclusions: Hatchet flap is very suitable for the buccal tissue defect with satisfactory cosmetic result. The facial natural figure is protected very well.
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