Sagayaraj A, Jyothi N Divya, Mohiyuddin S M Azeem, Deo Ravindra P, Padiyar B Vageesh
Department of Otorhinolaryngology, Head and Neck Surgery, Sri Devaraj Urs Medical College, Kolar, India.
Indian J Otolaryngol Head Neck Surg. 2017 Mar;69(1):20-23. doi: 10.1007/s12070-016-1005-1. Epub 2016 Jul 5.
Carcinoma buccal mucosa is the most common oral cavity cancer in India. Following excision of these lesions the defects can be reconstructed using various reconstructive techniques. Buccal pad of fat has been successfully used in the reconstruction of small palatal defects and in the closure of the oro antral fistula. This study aims at evaluating the role of buccal pad of fat in reconstruction of defects following excision of the small to medium premalignant lesions and T1-T2 malignant lesions of buccal mucosa. This study has 20 patients who presented between January 2013 and January 2015, with biopsy proven premalignant lesions and early malignant lesions in the buccal mucosa. The lesions were excised and reconstructed with buccal pad of fat. Patients were followed up for a period of 3 months, in this period were evaluated for flap epithelisation, postoperative complications like flap necrosis and infection and also the functional outcomes of the flap. In our study complete epithelisation of the flap was seen in all patients. Wound dehiscence was seen in three patients with larger defetcs(>5 cm). None of our patients had any post operative morbidity. This flap is therefore an excellent reconstruction technique for small to medium buccal mucosa defects as it is convenient, reliable, fast, has rich vascularity, easy accessibility, fewer complications and minimal or no donor site morbidity.
颊黏膜癌是印度最常见的口腔癌。切除这些病变后，可采用多种重建技术修复缺损。颊脂垫已成功用于修复小面积的腭部缺损以及封闭口腔上颌窦瘘。本研究旨在评估颊脂垫在修复颊黏膜中小面积癌前病变及T1 - T2期恶性病变切除术后缺损中的作用。本研究纳入了20例在2013年1月至2015年1月期间就诊的患者，其颊黏膜活检证实为癌前病变和早期恶性病变。切除病变后用颊脂垫进行重建。对患者进行了3个月的随访，在此期间评估皮瓣上皮化情况、皮瓣坏死和感染等术后并发症以及皮瓣的功能结局。在我们的研究中，所有患者的皮瓣均完全上皮化。3例较大缺损（>5 cm）的患者出现了伤口裂开。我们的患者均无任何术后并发症。因此，对于中小面积的颊黏膜缺损，该皮瓣是一种极佳的重建技术，因为它方便、可靠、快速、血管丰富、易于获取、并发症少且供区并发症极少或无。
