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Soft tissue flap in oral cavity

Heping Yang, Hongwu Zhang, Haidi Chen, Shuxiong Yang, Jun Wang, Dawang Hu
OBJECTIVE: To compare the effectiveness of complex defects repair between using chimeric anterolateral thigh flap and series-wound flaps after resection of oral and maxillofacial cancer. METHODS: After resection of oral and maxillofacial cancer, defect was repaired with chimeric anterolateral thigh flap in 39 patients between January 2011 and July 2014 (chimeric anterolateral thigh flap group); and defect was repaired with series-wound flaps in 35 patients between January 2009 and December 2010 (series-wound flaps group)...
April 2016: Chinese Journal of Reparative and Reconstructive Surgery
Seong-Ho Jin, Gyeongsin Park, Youngkyung Ko, Jun-Beom Park
The purpose of this report is to present a case of myeloid sarcoma of the gingiva with myelodysplastic syndrome.A 52-year-old male diagnosed with myelodysplastic syndrome with skin lesions presented with gingival swelling and gingival redness involving the maxillary left second premolar and the maxillary left first molar. The patient was referred from the Department of Hematology for a biopsy of the lesion. Full-thickness flaps were elevated and inflamed, and neoplastic soft tissue was removed from a lesion and the samples sent for histopathologic analysis...
June 2016: Medicine (Baltimore)
Pasquale Procacci, Fortunato Alfonsi, Paolo Tonelli, Filippo Selvaggi, Giovanni Battista Menchini Fabris, Valentina Borgia, Daniele De Santis, Dario Bertossi, Pier Francesco Nocini
BACKGROUND: Oroantral communication (OAC) can be defined as a pathologic space created between the maxillary sinus and the oral cavity.This communication and subsequent formation of a chronic oroantral fistula is a common complication often encountered by oral and maxillofacial surgeons.Although various techniques have been proposed in published studies, long-term successful closure of oroantral fistulas is still one of the most difficult problems confronting the surgeon working in the oral and maxillofacial region...
July 2016: Journal of Craniofacial Surgery
Lia Jacobson, Raj Dedhia, Niels Kokot, Ara Chalian
PURPOSE: Total lower lip and mandible defects following tumor resection present challenging reconstructions. The use of dual free flaps leads to increased donor-site morbidity and risk of flap failure. We present a single scapular free flap approach with unique use of osteotomies for lip reconstruction in a small series of patients. METHODS: A case series was conducted from 2007 to 2012 on three patients with squamous cell carcinoma of the oral cavity requiring large resection...
September 2016: Microsurgery
Jan Wolff, Elisabet Farré-Guasch, George K Sándor, Susan Gibbs, Derk Jan Jager, Tymour Forouzanfar
PURPOSE: Oral soft tissue augmentation or grafting procedures are often necessary to achieve proper wound closure after deficits resulting from tumor excision, clefts, trauma, dental implants, and tooth recessions. MATERIALS AND METHODS: Autologous soft tissue grafts still remain the gold standard to acquire a functionally adequate zone of keratinized attached gingiva. However, soft tissue substitutes are more commonly used because they minimize morbidity and shorten surgical time...
June 2016: Implant Dentistry
Amin Rahpeyma, Saeedeh Khajehahmadi
Soft tissue reconstruction is often necessary after pathologic resection of oral squamous cell carcinoma. Although morphologic changes are common after transfer of the flaps to the oral cavity, pathologic changes within the transferred flaps, used for intraoral reconstruction, are rare events. Despite the widespread use of submental flap for oral cavity reconstruction, there are no reports in this respect. In this article, pathologic changes in the surface epithelium of transferred submental flaps are demonstrated with the report of two cases...
August 2015: Journal of Clinical and Diagnostic Research: JCDR
Y Ma, L Liu, W Wang, C Lu, A Zhang, Y Song, R Zhang, E K Oghagbon, M Xiang
No abstract text is available yet for this article.
August 2016: Clinical Otolaryngology
Amin Rahpeyma, Saeedeh Khajehahmadi
BACKGROUND: Nasolabial flap (NLF) is one of the oldest described soft tissue flaps. Despite the great advances in maxillofacial reconstruction it still has a stable location in the reconstructive ladder of the face and oral cavity. Reconstruction of the lips, which are important structures that connect the oral cavity to the facial skin, with this flap is the interest of the surgeons. PATIENTS AND METHODS: Experience of the authors for reconstruction of the upper lip philtrum, correction of lower lip contracture and subtotal reconstruction of the lower lip with emphasis on simultaneous correction of the red lip (volume and color) is explained in five cases...
June 2015: Journal of Maxillofacial and Oral Surgery
Sharad Vaidya, Hari Parkash, Sharad Gupta, Akshay Bhargava, Charu Kapoor
The most frequent type of treatment for patients diagnosed with a malignant neoplasia of the oral cavity is surgical resection of the tumor. Ablative surgery may be followed by a reconstructive phase, in which the surgeon may choose between local flaps, nonvascularized bone grafts or free vascularized flaps to close the surgical site, depending on the general conditions of the patient. Esthetic and functional results are challenging to achieve for the prosthodontist, as variable amount of hard and soft tissues are removed...
January 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Sunil Yadav, Anita Dhupar, Vikas Dhupar, Francis Akkara, Hitesh C Mittal
The resection of oral cavity tumor and malignancies often causes functional disabilities like deglutition and articulation. Maxillectomy is a very common surgical procedure carried out for the management of benign and malignant tumors of maxilla. Irrespective of the procedure, there is a common end result that is the defect. Several soft tissue flaps can be used for reconstruction of maxillectomy defect. Keeping the parameters of reconstruction in mind it is ideal to reconstruct the maxillary defect with either the free flaps or the regional flaps...
July 2014: National Journal of Maxillofacial Surgery
Amin Rahpeyma, Saeedeh Khajehahmadi, Farnoush Razmara
INTRODUCTION: Submental flap is used to reconstruct intraoral and facial soft tissue defects. Submental flap is used for intraoral reconstruction in eighteen patients. Complications of this flap that includes local recurrence, remaining metastatic lymph node in the field of neck dissection, wound dehiscence at donor site and probability of transferring metastatic tissue are evaluated. MATERIALS AND METHODS: This flap is used as an alternative to free tissue transfer, and this article presents 18 cases after pathologic lesion resections, such as verrocous carcinoma (2 patients), odontogenic myxoma (1 patient), oral squamous cell carcinoma (SCC) (10 patients), adenoid cystic carcinoma (2 patients), leukoplakia (2 patients) as well as osteosarcoma in one patient...
March 2015: Journal of Maxillofacial and Oral Surgery
Amin Rahpeyma, Saeedeh Khajehahmadi
Residual palatal fistula after repair of palatal cleft is common. Repair of residual oronasal fistula is not always successful. Two-layer closure techniques that close these fistulas with soft tissue are a common practice. Turnover flaps are the most used flaps and often the sole method for nasal-side closure of fistula. Anteriorly based inferior turbinate flap can be used to provide soft tissue for nasal-side closure when turnover flaps will not provide sufficient tissue for this purpose. Under general anesthesia with nasotracheal intubation, inferior turbinate was released from posterior attachment...
December 2014: Plastic and Reconstructive Surgery. Global Open
Joseph Zenga, Brian Nussenbaum, Jason T Rich, Allen Sclaroff, Jason A Diaz
BACKGROUND: Reconstruction of composite oral cavity defects in the setting of prior surgery and radiotherapy presents a significant challenge. Although free tissue transfer has shown success in such situations, it is not without considerable risk. Regional pedicled flaps may provide a more suitable alternative. In certain patients, however, severe soft tissue fibrosis makes more conventional regional flaps impractical or impossible. In these situations, temporalis flaps (temporalis muscle and temporoparietal fascia flaps) are versatile options for coverage of complex defects...
January 2015: American Journal of Otolaryngology
Jason K Potter, Michael R Lee, Lance Oxford, Corrine Wong, Michel Saint-Cyr
BACKGROUND: Composite defects of the oral cavity are often the result of trauma or advanced-stage tumor extirpation. The resultant deformity frequently requires a three-dimensional reconstruction of bone and soft-tissue. The fibula free flap is the preferred method of reconstruction, with various modifications focused on providing supplemental soft-tissue coverage. The objective of this study was to ascertain both anatomic and clinical data regarding the proximal peroneal perforator and its contribution to the evolution of the fibula free flap...
June 2014: Plastic and Reconstructive Surgery
André M Eckardt
Reconstruction of oral soft-tissue defects following resection of oral carcinomas can be achieved using various techniques including microsurgical tissue transfer. However, there seems to be a role for regional or local flaps. Small to medium-size defects can be functionally reconstructed with the platysma myocutaneous flap as an excellent choice particularly in medically compromised patients not being eligible for free tissue transfer. The present paper reviews the indication, surgical technique, and complications following reconstruction of defects of the oral cavity with the platysma myocutaneous flap...
February 2013: Journal of the Korean Association of Oral and Maxillofacial Surgeons
A Deganello, G Gitti, G Parrinello, E Muratori, G Larotonda, O Gallo
Reconstructive surgery of the head and neck region has undergone tremendous advancement over the past three decades, and the success rate of free tissue transfers has risen to greater than 95%. It must always be considered that not all patients are ideal candidates for free flap reconstruction, and also that not every defect strictly requires a free flap transfer to achieve good functional results. At our institution, free flap reconstruction is first choice, although we use pedicled alternative flaps for most weak patients suffering from severe comorbidities, and for pretreated patients presenting a second primary or a recurrent cancer...
December 2013: Acta Otorhinolaryngologica Italica
Amin Rahpeyma, Saeedeh Khajehahmadi, Mohammadreza Nakhaei
INTRODUCTION: Reconstruction of intraoral soft tissue defects is important in restoring function and esthetic. In large defects, there will be demand for regional pedicle flaps or free flaps. Hard palate separates nasal and oral cavities. Due to the small surface area between flap and remaining palate after surgical resections, optimal blood supply of the flaps for hard palate reconstructions are needed. CASE REPORT: This article demonstrates immediate reconstruction of two edentulous hemimaxillectomy patients with submental artery Island flap and brief review of this flap discussed...
June 2013: Iranian Journal of Otorhinolaryngology
Niels Kokot, Kashif Mazhar, Lindsay S Reder, Grace Lee Peng, Uttam K Sinha
IMPORTANCE: The supraclavicular artery island (SAI) rotational flap may have advantages compared with free-tissue transfer in head and neck reconstruction. Because this flap has not been extensively described for head and neck reconstruction of oncologic defects, guidelines for its indications would benefit the reconstructive surgeon. OBJECTIVE: To describe the applications and limitations of the SAI flap as an alternative to free-tissue transfer in reconstruction of head and neck defects...
November 2013: JAMA Otolaryngology—Head & Neck Surgery
Matthew H Rigby, S Mark Taylor
PURPOSE OF REVIEW: This article provides an overview of the principles of soft tissue reconstruction of the oral cavity, and reviews the recent clinical outcomes for described options. RECENT FINDINGS: For small defects of the oral cavity, healing by secondary intention and primary closure are both excellent options and may provide functionally superior results. In defects where a split-thickness skin graft is appropriate, acellular dermis may provide results that are at least as good at lower cost...
August 2013: Current Opinion in Otolaryngology & Head and Neck Surgery
A V Karpenko, L D Roman, R R Sibgatullin, E N Belova, N A Evdokimova, D N Dzhalilov, V G Zolotykh, A A Boĭko
The authors analyzed results of the free flap transfer in surgery of head and neck. 60 operations were performed since October 2006 till May 2012. Indications for using them were reconstruction of the mucosa of the oral cavity and the pharynx in 48 cases, the extensive defects of skin and soft tissues of the head and neck in 12 cases. All cases except 2 had the initial reconstruction. First 18 operations were performed with the binocular loupes, followed by using operating microscope. During the operations 42 radial skin-fascia flaps, 10 anterolateral femoral flaps, 5 thoracodorsal flaps, 1 anteromedial femoral flap, 1 scapular skin bone flap and 1 jejunal flap were used...
2013: Vestnik Khirurgii Imeni I. I. Grekova
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