Muscle-only intra-oral mucosal defect reconstruction

Summary Reconstructive requirements of medium to large sized oral mucosal defects following oncological resection include restoration of mucosal continuity with prevention of salivary leak and fistula formation, predictable soft tissue healing, and ensuring optimal oral function and cosmetic restora...

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Published inJournal of plastic, reconstructive & aesthetic surgery Vol. 65; no. 12; pp. 1654 - 1659
Main Authors Syme, D.B, Shayan, R, Grinsell, D
Format Journal Article
LanguageEnglish
Published Kidlington Elsevier Ltd 01.12.2012
Elsevier
Subjects
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Female
Free muscle flap
Head and Neck Neoplasms - surgery
Humans
Male
Medical sciences
Middle Aged
Mouth Mucosa - surgery
Mucosa
Muscle, Skeletal - surgery
Oral Surgical Procedures - methods
Plastic Surgery
Postoperative Complications
Prospective Studies
Reconstruction
Reconstructive Surgical Procedures - methods
Skin Transplantation - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Treatment Outcome
Reconstruction
Mucosa
Free muscle flap
Treatment
Surgery
Free flap
Oral administration
Muscle
Anatomical reconstruction
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Summary:Summary Reconstructive requirements of medium to large sized oral mucosal defects following oncological resection include restoration of mucosal continuity with prevention of salivary leak and fistula formation, predictable soft tissue healing, and ensuring optimal oral function and cosmetic restoration. Such defects frequently mandate the use of microvascular free tissue transfer of fasciocutaneous flaps such as the radial forearm or anterolateral thigh flaps, or, for larger defects incorporating significant dead-space, muscle flaps such as rectus abdominis or latissimus dorsi. Commonly described techniques for re-establishing continuity of the epithelial component include using native mucosa, split skin graft, or a myocutaneous flap skin paddle. Few case series reports exist of non-epithelial reconstructive approaches. Here, the authors report a large series of muscle only flaps for oral defect reconstruction following oncologic resection. The current study demonstrates that mucosalised muscle is an effective additional method for intra-oral mucosal defect reconstruction.
Bibliography:ObjectType-Article-1
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ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2012.06.006