Commissuroplasty using the triangular cheek flap in patients with free flap reconstruction of through and through buccal defects.

Autor: Dang RR; Department of Plastic and Reconstruction Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan., El Abbadi S; Department of Plastic and Reconstruction Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan., Tsao CK; Department of Plastic and Reconstruction Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2023 Jul; Vol. 45 (7), pp. 1868-1870. Date of Electronic Publication: 2023 May 02.
DOI: 10.1002/hed.27386
Abstrakt: 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.
(© 2023 Wiley Periodicals LLC.)
Databáze: MEDLINE
Externí odkaz: