BACKGROUND: Recurrent @entity2419 @entity292 is a challenge for maxillofacial surgeons. In severe cases, microvascular tissue transfer is necessary to treat these @entity1 successfully. METHODS: A 23-year-old @entity1 with @entity3384 , previously treated elsewhere, presented with a 2-cm defect in the @entity2419 . A tongue flap had already been performed. It was decided to close the persistent @entity292 with a lateral upper-arm flap. In a first-step operation, a free graft of buccal @entity5932 was fixed to the lateral upper arm subcutaneously and covered with an alloplastic sheet. After 11 weeks, the prelaminated flap was harvested and transferred to the palate. RESULTS: Integration of the buccal @entity5932 to the upper arm was uneventful. On harvesting the flap, we found a smooth, thin, and @entity400 with a @entity5932 surface of 4 x 4 cm. Healing of the microvascular flap in its recipient site was regular. The @entity292 was closed successfully. CONCLUSIONS: To the authors' knowledge, this is the first report of a lateral upper-arm flap prelaminated with autologous @entity5932 . By prelamination, it is possible to circumvent the disadvantage of extraoral skin within the oral cavity and to cover @entity33 with @entity5932 , especially in elective procedures, such as cleft cases.

@entity2419 XXXX closure with a mucosal prelaminated lateral upper arm flap.

@entity1 :: ('9606', 'Species') :: ['patients', 'man'] @entity33 :: ('MESH:D052016', 'Disease') :: ['mucosal defects'] @entity5932 :: ('MESH:C565008', 'Disease') :: ['mucosa'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity400 :: ('MESH:D014202', 'Disease') :: ['continuous fasciomucosal flap'] @entity2419 :: ('MESH:D002972', 'Disease') :: ['posterior hard palate', 'cleft palate'] @entity3384 :: ('MESH:D002971', 'Disease') :: ['cleft lip and palate']
@entity292 :: (MESH:D005402,Disease) :: ['fistula']
