Hakeem Arsheed Hussain, Hakeem Imtiyaz Hussain, Wani Fozia Jeelani
Department of Head and Neck Oncology, Apollo Cancer Hospitals, Hyderabad, Telangana, India.
Department of Internal Medicine, Metroplex Hospital, TX 76549, USA.
Natl J Maxillofac Surg. 2018 Jul-Dec;9(2):222-224. doi: 10.4103/njms.NJMS_61_16.
Large defect of the lip and buccal mucosa created due to wide resection of the cancer is difficult to reconstruct and always a challenge. Such defects are complex as there is loss of outer skin, muscle, soft tissue, and inner mucosal lining. We report the use of submental artery island flap (SAIF) in the reconstruction of a large defect of oral commissure and buccal mucosa in a 70-year-old female with the diagnosis of verrucous carcinoma. The final outcome was optimal in terms of cosmetic and functional results. We obtained good lip seal without any problem in speech and swallowing. SAIF is an excellent alternative option for reconstruction of large complex defects of lips and oral commissure. It has a reliable vascular supply and provides a thin and pliable tissue for reconstruction in such critical area of face.
因癌症广泛切除导致的唇部和颊黏膜大面积缺损难以修复，始终是一项挑战。此类缺损情况复杂，因为存在外层皮肤、肌肉、软组织以及内层黏膜的缺失。我们报告了在一名诊断为疣状癌的70岁女性患者中，使用颏下动脉岛状皮瓣（SAIF）修复口腔口角和颊黏膜大面积缺损的情况。最终的美容和功能效果均达到最佳。我们实现了良好的唇部闭合，在言语和吞咽方面没有任何问题。SAIF是修复唇部和口腔口角大面积复杂缺损的极佳替代选择。它具有可靠的血供，并为面部这一关键区域的修复提供了薄而柔韧的组织。
