Maxillofacial Surgery Division, University Hospital of Sassari, Sassari, Sardinia, Italy.
Microsurgery. 2013 Jul;33(5):401-5. doi: 10.1002/micr.22113. Epub 2013 May 24.
Squamous cell carcinoma (SCC) of the buccal mucosa is an aggressive form of oral cancer. It tends to spread to adjacent tissues and often metastasizes to occult cervical node. There are multiple techniques for cheek reconstruction after tumor removal, including temporalis myocutaneous and temporoparietal fascial pedicled flaps and a forearm free flap. In this report, a case of a 76-year-old man with SCC of the left cheek mucosa and extending to the posterolateral superior alveolar ridge is presented. The patient underwent radical excision of the tumor, omolateral modified radical neck dissection (MRND-III), and contralateral selective neck dissection (levels I-III). Reconstruction was performed with a facial artery myomucosal free flap. The flap was transplanted successfully, and there were no donor or recipient site complications. This technique is a good reconstructive option because of its adherence to the plastic surgery principle of "replacing like with like" and its minimal donor-site morbidity.
颊黏膜鳞状细胞癌 (SCC) 是一种侵袭性口腔癌。它往往会扩散到邻近组织，并且经常转移到隐匿性颈部淋巴结。在肿瘤切除后，有多种颊部重建技术，包括颞肌肌皮瓣和颞顶筋膜蒂瓣以及前臂游离皮瓣。在本报告中，我们介绍了一例 76 岁男性颊黏膜 SCC 病例，肿瘤向后外侧上颌骨嵴延伸。患者接受了肿瘤根治性切除术、同侧改良根治性颈淋巴结清扫术 (MRND-III) 和对侧选择性颈淋巴结清扫术 (I-III 水平)。采用面动脉肌黏膜游离皮瓣进行重建。皮瓣移植成功，供区和受区均无并发症。这种技术是一种很好的重建选择，因为它符合整形外科学的“以类似物替代类似物”原则，并且供区并发症发生率低。
