RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0043-1778643
Novel Asymmetric Y Design of Fascial Sling for Restoration of Oral Competence and Adequate Mouth Opening in Oral Commissure Defects Post-Malignancy Resection
Authors
Abstract
Reconstruction of through-and-through defects of cheek and commissure resulting from cancer resection are challenging. The specialized function of oral competence that the oral commissure and lip play is difficult to replicate with flap only reconstruction. Static slings play an important role in improving the functional and aesthetic outcome. The asymmetric “y” fascial sling helps in achieving the goals of oral competence along with adequate mouth opening. A total of 10 patients were operated by this technique. The results were satisfactory in terms of functional and aesthetic outcome postsurgery and were maintained 6 months postradiation.
Ethical Approval
Ethics committee approval obtained from the institutional ethics committee.
Authors' Contributions
All the authors were involved in the conception of the work, data collection, analysis and interpretation and throughout the process of the drafting and revision of the manuscript.
Publikationsverlauf
Artikel online veröffentlicht:
02. Februar 2024
© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Sasaki K, Sasaki M, Oshima J, Aihara Y, Nishijima A, Sekido M. Free-flap reconstruction for full-thickness oral defects involving the oral commissure combined with oral modiolus reconstruction using a fascial sling. Microsurgery 2020; 40 (05) 553-560
- 2 Jeng SF, Kuo YR, Wei FC, Su CY, Chien CY. Reconstruction of extensive composite mandibular defects with large lip involvement by using double free flaps and fascia lata grafts for oral sphincters. Plast Reconstr Surg 2005; 115 (07) 1830-1836
- 3 Kuo YR, Jeng SF, Wei FC, Su CY, Chien CY. Functional reconstruction of complex lip and cheek defect with free composite anterolateral thigh flap and vascularized fascia. Head Neck 2008; 30 (08) 1001-1006
- 4 Yildirim S, Gideroğlu K, Aydogdu E, Avci G, Akan M, Aköz T. Composite anterolateral thigh-fascia lata flap: a good alternative to radial forearm-palmaris longus flap for total lower lip reconstruction. Plast Reconstr Surg 2006; 117 (06) 2033-2041
- 5 Matsui C, Tachibana K, Arai T. et al. Combined ALT, Estlander, and upper lip flap for defects involving the oral commissure. Plast Reconstr Surg Glob Open 2022; 10 (09) e4557
- 6 Wei FC, Tan BK, Chen IH, Hau SP, Liau CT. Mimicking lip features in free-flap reconstruction of lip defects. Br J Plast Surg 2001; 54 (01) 8-11
- 7 Jeng SF, Kuo YR, Wei FC, Su CY, Chien CY. Reconstruction of concomitant lip and cheek through-and-through defects with combined free flap and an advancement flap from the remaining lip. Plast Reconstr Surg 2004; 113 (02) 491-498
- 8 Qaisi M, Lubek JE. Complications associated with reconstruction of lip defects. Lip Cancer 2013; x: 137-145
- 9 Ki SH, Jo GY, Yoon J, Choi MSS. Reconstruction of microstomia considering their functional status. Arch Craniofac Surg 2020; 21 (03) 161-165