Rubin J S
Montefiore Medical Centre, Bronx, NY.
J Laryngol Otol. 1994 Jun;108(6):486-9. doi: 10.1017/s0022215100127173.
In many cases of carcinoma of the floor of mouth, oncologic resection includes marginal mandibulectomy. Reconstruction poses a significant challenge. Requirements include coverage with thin but supple tissue to allow for dental implant or denture, and recreation of a mobile tongue and sensate floor of mouth gutter. Reconstructive efforts have ranged from skin grafts to free flaps, with variable success in fulfilling the above-mentioned requirements. This paper describes the preferred technique of the author, in which external mandibular periosteum is saved and elevated with a submucosal flap of lower lip, raised to the level of the vermilion border. This flap is then advanced to ventral tongue. In this manner the entire anterior floor of mouth can be reconstructed. Cases are presented demonstrating different aspects to the technique.
在许多口底癌病例中，肿瘤切除包括下颌骨边缘切除术。重建是一项重大挑战。要求包括用薄而柔软的组织覆盖，以便植入牙种植体或假牙，以及重建可活动的舌头和有感觉的口底沟。重建方法从皮肤移植到游离皮瓣，在满足上述要求方面取得了不同程度的成功。本文介绍了作者首选的技术，即保留并掀起下颌骨外骨膜，同时掀起下唇黏膜下皮瓣，将其提升至唇红缘水平。然后将该皮瓣推进至舌腹。通过这种方式，可以重建整个口底前部。文中展示了该技术不同方面的病例。
