Jiang Canhua, Guo Feng, Li Ning, Huang Pengxin, Jian Xinchun, Munnee Krishna
Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, China.
Department of Plastic Surgery, Victoria Hospital, Candos, Mauritius.
Microsurgery. 2013 Nov;33(8):667-71. doi: 10.1002/micr.22140. Epub 2013 Aug 6.
For buccal squamous cell carcinoma (SCC) patients accompanied with severe oral submucous fibrosis (OSF), it is a challenge to simultaneously reconstruct bilateral buccal defects created from cancer resection and contralateral OSF release to improve postoperative mouth opening. Herein, we present a case of reconstruction of bilateral buccal defects in a 46-year-old patient who had left buccal SCC accompanied with severe OSF. Extensive ablation involved the left full-thickness cheek as well as part of mandible and a release of right OSF tissue were performed. A tripaddled anterolateral thigh (ALT) flap with three independent sets of perforators was harvested for reconstruction. The flap survived in its entirety. No donor or recipient site complication occurred. The preoperative inter-incisor distance (IID) was 1 mm, while the postoperative IID was 23 mm. This is the first report on the use of one tripaddled ALT flap for reconstruction of bilateral buccal defects created from cancer ablation and severe contralateral OSF release.
对于伴有严重口腔黏膜下纤维化（OSF）的颊部鳞状细胞癌（SCC）患者，同时修复因癌症切除造成的双侧颊部缺损以及对侧OSF松解以改善术后开口度是一项挑战。在此，我们报告一例46岁患者双侧颊部缺损修复的病例，该患者左侧颊部SCC伴严重OSF。进行了广泛切除，包括左侧全层颊部以及部分下颌骨，并对右侧OSF组织进行了松解。采用带有三组独立穿支的三叶前外侧大腿（ALT）皮瓣进行修复。皮瓣完全存活。未发生供区或受区并发症。术前切牙间距离（IID）为1毫米，术后IID为23毫米。这是关于使用一叶三叶ALT皮瓣修复因癌症切除和严重对侧OSF松解造成的双侧颊部缺损的首次报道。
