Nguyen Hong Loi, Nguyen Van Minh, Tran Xuan Phu
Odonto-Stomatology Center, Hue Central Hospital, Hue, Vietnam.
Faculty of Odonto-Stomatology, Hue University of Medicine and Pharmacy, Hue, Vietnam.
Case Rep Oncol. 2021 Mar 23;14(1):573-579. doi: 10.1159/000514630. eCollection 2021 Jan-Apr.
An oral defect after oncologic resection, especially in the upper jaw, is an extremely complex problem in terms of reconstructive surgery. Herein, we report 2 patients who were diagnosed with oral mucosal squamous cell carcinoma. In one patient, the lesion was present on the right side of the hard palate, invading the maxillary bone. In the other patient, the lesion was present in the left retromolar trigone region. Reconstruction of the postsurgical defects was successfully done using a temporalis muscle flap. Both patients were discharged after ensuring the absence of any postsurgical complications. Furthermore, the postoperative functional and esthetic outcomes were adequate. These case reports highlight the usefulness and reliability of a temporalis muscle flap for the immediate reconstruction of oral and maxillary defects after oncologic resection.
肿瘤切除术后的口腔缺损,尤其是在上颌骨,对于重建手术而言是一个极其复杂的问题。在此,我们报告2例被诊断为口腔黏膜鳞状细胞癌的患者。其中1例患者,病变位于硬腭右侧,侵犯上颌骨。另一例患者,病变位于左侧磨牙后三角区。使用颞肌瓣成功完成了术后缺损的重建。在确保没有任何术后并发症后,两名患者均已出院。此外,术后功能和美学效果良好。这些病例报告突出了颞肌瓣在肿瘤切除术后即刻重建口腔和上颌骨缺损方面的实用性和可靠性。