Maxillo-Facial Surgery Division, Head and Neck Department, University Hospital of Parma, Via Gramsci 14, 43100 Parma, Italy.
Microsurgery. 2010;30(2):97-104. doi: 10.1002/micr.20714.
Resections of oromandibular squamous cell carcinoma involving anterior mandible, floor of the mouth, and the skin, lead to composite oromandibular defects that can be approached in several ways depending on the extension of the bone defect, of the soft tissue and cutaneous resection, the patient's general status, and the prognosis.
A retrospective evaluation of 27 patients has been performed. The techniques described included single osseous or soft tissues free flap reconstruction, two free flaps or free and locoregional flap association.
Postoperative follow-up ranged from 12 to 120 months. Final results were evaluated with regards to deglutition, speech, oral competence, and esthetic outcome.
Reconstruction of the anterior mandible is strongly indicated whenever possible. When the defect involves the tongue, the best results are provided by the association of two free flaps. Finally, the association of free and locoregional flaps ia a good option for external coverage reconstruction.
涉及前下颌骨、口底和皮肤的口腔颌面部鳞状细胞癌切除术导致复合口腔颌面部缺损，根据骨缺损、软组织和皮肤切除的程度、患者的一般状况和预后，可以采用多种方法进行处理。
对 27 例患者进行了回顾性评估。描述的技术包括单个骨或软组织游离皮瓣重建、两个游离皮瓣或游离和局部皮瓣联合。
术后随访时间为 12 至 120 个月。根据吞咽、言语、口腔功能和美观结果对最终结果进行评估。
只要可能，就强烈建议重建前下颌骨。当缺损涉及舌时，两个游离皮瓣的联合提供了最佳效果。最后，游离和局部皮瓣联合是外部覆盖重建的良好选择。
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