Seok Hyun, Kim Min-Keun, Kim Seong-Gon
Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, Gangneung, Korea.
J Korean Assoc Oral Maxillofac Surg. 2016 Dec;42(6):370-374. doi: 10.5125/jkaoms.2016.42.6.370. Epub 2016 Dec 27.
Mucoepidermoid carcinoma (MEC) is the most common type of malignant neoplasm in the minor salivary gland. The hard palate is a frequently involved site of MEC. The treatment of low-grade MEC on the hard palate is wide local resection with a tumor-free margin. In the present case, the maxillary defect was reconstructed using a buccal fat pad (BFP) flap, followed by application of 4-hexylresorcinol (4HR) ointment for 2 weeks. The grafted BFP successfully covered the tumor resection defect without tension and demonstrated complete re-epithelialization without any complications.
黏液表皮样癌(MEC)是小唾液腺最常见的恶性肿瘤类型。硬腭是MEC常累及的部位。硬腭低度MEC的治疗方法是进行切缘无瘤的广泛局部切除。在本病例中,采用颊脂垫(BFP)瓣修复上颌骨缺损,随后应用4-己基间苯二酚(4HR)软膏2周。移植的BFP瓣成功无张力地覆盖了肿瘤切除缺损,且显示完全重新上皮化,无任何并发症。