Dermal Matrix for Intraoral Lining Following Composite Mandibular Defect Reconstruction With Chimeric Fibular Osseocutaneous Flap
| Autor: | Dimosthenis Tsoutsos, Andreas Gravvanis, Despoina Kakagia, Nick Katsikeris |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Mandible
Free Tissue Flaps 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Free fibula stomatognathic system Tongue Female patient medicine Humans Orthodontics Floor of mouth business.industry Defect reconstruction 030206 dentistry General Medicine Middle Aged Chin stomatognathic diseases Mandibular Neoplasms medicine.anatomical_structure Otorhinolaryngology Fibula Carcinoma Squamous Cell Catheter Ablation Surgery Female Normal speech Mandibular Reconstruction business Dermal matrix |
| Zdroj: | The Journal of craniofacial surgery. 27(7) |
| ISSN: | 1536-3732 |
| Popis: | Background This report aims to first present Integra as an adjunct to complex mandibular reconstruction for intraoral lining resurfacing, and to review the literature on the use of dermal matrices for mucosal resurfacing of the floor of the mouth. Clinical report A 62-year-old female patient with previous ablation surgery for squamous cell carcinoma of the floor of the mouth, presented with extrusion of the mandibular plate through the chin skin and serious tongue tethering. The patient was managed with a chimeric osseocutaneous free fibula flap to restore the mandibular bone and chin skin defect, followed by a second-stage reconstruction of the intraoral defect with bilayer Integra. Complete release of tongue tethering was achieved enabling normal speech and deglutition and allowing for dental rehabilitation. Conclusions Integra was safely used as an alternative for intraoral lining, in composite mandibular reconstruction, downgrading reconstructive demands and offering optimal functional results. |
| Databáze: | OpenAIRE |
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