| Autor: |
Rifaat MA; Department of Surgery/Service for Reconstructive Plastic Surgery, National Cancer Institute, Cairo University, Fom al khalig, Cairo, Egypt. marifaat25@yahoo.com |
| Jazyk: |
angličtina |
| Zdroj: |
Annals of plastic surgery [Ann Plast Surg] 2011 Aug; Vol. 67 (2), pp. 134-8. |
| DOI: |
10.1097/SAP.0b013e3181f3e315 |
| Abstrakt: |
Reconstruction of oral commissure defects aims at securing oral competence and providing an acceptable appearance. The methods described by using either a cross lip flap or a flap from the adjacent cheek skin and mucosa may not be able to achieve such goals if each method is used on its own. We have combined double full-thickness cheek rhomboidal flaps with a small lip switch flap from the remaining lip segment to reconstruct medium-sized full-thickness defects of the oral commissure, following tumor excision in 7 patients. The functional and aesthetic outcomes were assessed by the evaluation of 3 parameters under each category. Each parameter received a score of good, moderate, or poor. Six patients had a good overall functional score. Microstomia was noted only in 1 patient. The overall aesthetic score for all the 7 patients was moderate. In conclusion, reconstruction of medium-sized commissural defects by the present technique achieves adequate oral competence and a satisfactory cosmetic result. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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