Kerdoud Ouassime, Aloua Rachid, Slimani Faiçal
Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P, 2698, Casablanca, Morocco.
Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, B.P, 5696, Casablanca, Morocco.
Ann Med Surg (Lond). 2021 Jan 18;62:119-122. doi: 10.1016/j.amsu.2021.01.025. eCollection 2021 Feb.
Defects caused after tumor resection should be closed with flaps that match the neighboring cheek's skin.
the authors report a patient diagnosed with squamous cell carcinoma and its management. A 50-year-old man patient presented with a painless slow swelling in the left cheek, which had increased in size in the last four months, tobacco smoking, and alcohol intake for 15 years. Clinical examination revealed left cheek swelling without any lymph nodes at the palpation.
Reconstruction of the full-thickness is a real challenge. The deltopectoral flap offers several advantages despite the increasing use of microvascular reconstruction; technically is a simple and reliable flap that is preferred for the reconstruction of large through-and-through defects after resection of oral carcinoma. Preoperative planning of flap and early recognition of issues can avoid postoperative complications.
This reconstruction technique was demonstrated in large, full-thickness defects involving the cheek.
肿瘤切除后造成的缺损应用与邻近脸颊皮肤相匹配的皮瓣进行闭合。
作者报告了一名被诊断为鳞状细胞癌及其治疗情况的患者。一名50岁男性患者左侧脸颊出现无痛性缓慢肿胀，在过去四个月中肿胀增大，有15年吸烟和饮酒史。临床检查发现左侧脸颊肿胀，触诊未触及任何淋巴结。
全层重建是一项真正的挑战。尽管微血管重建的应用越来越多，但胸三角皮瓣仍具有多种优势；从技术上讲，它是一种简单可靠的皮瓣，在口腔癌切除术后重建大型贯通性缺损时是首选。皮瓣的术前规划和问题的早期识别可避免术后并发症。
这种重建技术在涉及脸颊的大型全层缺损中得到了验证。
