Bhattacharya Shreya, Vidhyadharan Sivakumar, Thankappan Krishnakumar, Iyer Subramania
Department of Head and Neck Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Craniomaxillofac Trauma Reconstr. 2016 Jun;9(2):162-5. doi: 10.1055/s-0035-1567811. Epub 2015 Nov 5.
Simultaneous occurrence of oral submucous fibrosis along with carcinoma of the buccal mucosa is common. We report a novel technique of a single dumbbell-shaped, cross-cheek radial forearm free flap to repair bilateral defects caused by oral cancer resection on one side and the release of fibrosis on the other side in two patients. The dumbbell-shaped flap provided tissue for both the buccal mucosa defects and central released soft palate preventing fibrosis and reapproximation. The interincisor distance improved in both the patients.
口腔黏膜下纤维化与颊黏膜癌同时发生的情况很常见。我们报告了一种新颖的技术,即采用单个哑铃形、跨颊部的桡侧前臂游离皮瓣,为两名患者修复一侧口腔癌切除及另一侧纤维化松解所导致的双侧缺损。哑铃形皮瓣为颊黏膜缺损和中央松解的软腭提供了组织,防止纤维化和重新愈合。两名患者的切牙间距离均有所改善。