Kim Dong-Young, Alfadil Lina Omar, Ahn Kang-Min, Lee Jee-Ho
Department of Oral and Maxillofacial Surgery, Asan Medical Center, Seoul, Republic of Korea.
Riyadh Colleges of Dentistry and Pharmacy, Riyadh, Saudi Arabia.
J Craniofac Surg. 2018 Jun;29(4):e394-e396. doi: 10.1097/SCS.0000000000004404.
A 21-year-old female patient underwent wide excision of the buccal mucosa and tongue as well as selective neck dissection due to squamous cell carcinoma on the left side of the tongue. She had a severe limitation in opening her mouth, owing to fibrosis of the mucosa and scar contracture after adjuvant radiation therapy. Reconstruction of the oral mucosa and tongue defect was performed after removal of the scar to improve mouth opening. An anterolateral thigh (ALT) flap was used, trimmed to an adipofascial flap for the reconstruction of the thin and pliable oral mucosa and tongue. The maximum mouth opening improved to 40 mm intraoperatively and was 30 mm after surgery. The adipofascial ALT flap had excellent viability and presented neomucosa after secondary healing. An adipofascial flap obtained by trimming an ALT flap could be a reliable option for the reconstruction of thin and pliable oral mucosa after wide excision of oral cancer.
一名21岁女性患者因左侧舌部鳞状细胞癌接受了颊黏膜和舌部的广泛切除以及选择性颈部清扫术。由于辅助放疗后黏膜纤维化和瘢痕挛缩，她张口严重受限。在切除瘢痕后进行了口腔黏膜和舌部缺损的重建，以改善张口度。采用股前外侧（ALT）皮瓣，将其修剪为脂肪筋膜瓣用于重建薄而柔韧的口腔黏膜和舌部。术中最大张口度改善至40毫米，术后为30毫米。脂肪筋膜ALT皮瓣活力良好，二期愈合后呈现新黏膜。通过修剪ALT皮瓣获得的脂肪筋膜瓣可为口腔癌广泛切除术后薄而柔韧的口腔黏膜重建提供可靠选择。
