Gravvanis Andreas, Kakagia Despoina, Katsikeris Nick, Tsoutsos Dimosthenis
*Department of Plastic Surgery-Microsurgery, Athens General State Hospital "G. Gennimatas," Athens†Department of Plastic Surgery, Democritus University in Thrace, Alexandroupolis‡Department of Oral and Maxillofacial Surgery, Athens General State Hospital "G. Gennimatas," Athens, Greece.
J Craniofac Surg. 2016 Oct;27(7):1711-1714. doi: 10.1097/SCS.0000000000002930.
This report aims to first present Integra as an adjunct to complex mandibular reconstruction for intraoral lining resurfacing, and to review the literature on the use of dermal matrices for mucosal resurfacing of the floor of the mouth.
A 62-year-old female patient with previous ablation surgery for squamous cell carcinoma of the floor of the mouth, presented with extrusion of the mandibular plate through the chin skin and serious tongue tethering. The patient was managed with a chimeric osseocutaneous free fibula flap to restore the mandibular bone and chin skin defect, followed by a second-stage reconstruction of the intraoral defect with bilayer Integra. Complete release of tongue tethering was achieved enabling normal speech and deglutition and allowing for dental rehabilitation.
Integra was safely used as an alternative for intraoral lining, in composite mandibular reconstruction, downgrading reconstructive demands and offering optimal functional results.
本报告旨在首次介绍Integra作为复杂下颌骨重建术中口内衬里再表面化的辅助材料，并回顾关于使用真皮基质进行口底黏膜再表面化的文献。
一名62岁女性患者，曾因口底鳞状细胞癌接受消融手术，现出现下颌骨板经下巴皮肤挤出及严重舌系带过短。该患者接受了嵌合游离腓骨骨皮瓣修复下颌骨及下巴皮肤缺损，随后采用双层Integra进行二期口内缺损重建。完全松解了舌系带，实现了正常的言语和吞咽功能，并为牙齿修复创造了条件。
Integra在复合下颌骨重建中被安全地用作口内衬里的替代材料，降低了重建要求并提供了最佳功能效果。
