TRIPADDLED ANTEROLATERAL THIGH FLAP FOR SIMULTANEOUS RECONSTRUCTION OF BILATERAL BUCCAL DEFECTS AFTER BUCCAL CANCER ABLATION AND SEVERE ORAL SUBMUCOUS FIBROSIS RELEASE: A CASE REPORT
TRIPADDLED ANTEROLATERAL THIGH FLAP FOR SIMULTANEOUS RECONSTRUCTION OF BILATERAL BUCCAL DEFECTS AFTER BUCCAL CANCER ABLATION AND SEVERE ORAL SUBMUCOUS FIBROSIS RELEASE: A CASE REPORT
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DOI：
10.1002/micr.22140
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发表时间：
2013-11-01
期刊：
影响因子：
2.1
通讯作者：
Munnee, Krishna
中科院分区：
文献类型：
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作者：
Jiang, Canhua;Guo, Feng;Munnee, Krishna
对于伴有严重口腔粘膜下纤维化（OSF）的颊鳞状细胞癌（SCC）患者来说，同时重建癌症切除产生的双侧颊部缺损和对侧 OSF 释放以改善术后张口度是一项挑战。在此，我们介绍了一名 46 岁患者的双侧颊部缺损重建病例，该患者患有颊鳞状细胞癌并伴有严重的 OSF。广泛的消融涉及左侧全层脸颊以及部分下颌骨，并释放了右侧 OSF 组织。采集具有三组独立穿支的三足式大腿前外侧 (ALT) 皮瓣进行重建。皮瓣完整地幸存下来。没有发生供体或受体部位并发症。术前切牙间距离（IID）为1毫米，术后IID为23毫米。这是第一份关于使用三重 ALT 皮瓣重建因癌症消融和严重对侧 OSF 释放而产生的双侧颊部缺损的报告。 (C) 2013 年 Wiley 期刊公司。
For buccal squamous cell carcinoma (SCC) patients accompanied with severe oral submucous fibrosis (OSF), it is a challenge to simultaneously reconstruct bilateral buccal defects created from cancer resection and contralateral OSF release to improve postoperative mouth opening. Herein, we present a case of reconstruction of bilateral buccal defects in a 46-year-old patient who had left buccal SCC accompanied with severe OSF. Extensive ablation involved the left full-thickness cheek as well as part of mandible and a release of right OSF tissue were performed. A tripaddled anterolateral thigh (ALT) flap with three independent sets of perforators was harvested for reconstruction. The flap survived in its entirety. No donor or recipient site complication occurred. The preoperative inter-incisor distance (IID) was 1 mm, while the postoperative IID was 23 mm. This is the first report on the use of one tripaddled ALT flap for reconstruction of bilateral buccal defects created from cancer ablation and severe contralateral OSF release. (C) 2013 Wiley Periodicals, Inc.