Department of Plastic and Reconstruction Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Head Neck. 2023 Jul;45(7):1868-1870. doi: 10.1002/hed.27386. Epub 2023 May 2.
Extensive resections of advanced stage oral cavity cancers can sometimes lead to significant through and through buccal defects with compromise of the oral commissure/lips. Post free flap reconstruction, such patients often require a secondary delayed commissuroplasty to assist with improved oral function and quality of life. In current literature, limited methods exist for free flap commissuroplasty with some key limitations, particularly their negative impact on buccal sulcus or oral vestibule. Our technique of the triangular cheek flap commissuroplasty allows the surgeon to reconstruct a neo-commissure without compromising the oral vestibular depth or decreasing mouth opening. Through this pictorial essay we describe a detailed surgical technique for secondary reconstruction of the oral commissure.
广泛性切除晚期口腔癌有时会导致明显的贯穿颊部缺损，影响口裂/唇的连续性。游离皮瓣重建后，此类患者常需行二期延迟性口轮匝肌成形术，以改善口腔功能和生活质量。目前文献中游离皮瓣口轮匝肌成形术的方法有限，存在一些关键局限性，特别是对颊沟或口腔前庭的负面影响。我们的三角颊瓣口轮匝肌成形术技术可使外科医生在不影响口腔前庭深度或减少张口度的情况下重建新的口轮匝肌。通过本文图析，我们详细描述了二期口腔轮匝肌重建的手术技术。
