OROFACIAL RECONSTRUCTION WITH LOCAL FLAPS AT AFID
AbstractBackground: Reconstruction of oral cavity is often a difficult challenge as it involves the restoration ofboth the cosmetics and preoperative function. Understanding the oral cavity anatomy as well thefunctional capacities of its various subunits is required to achieve good results. The stage of the diseaseand extent of resection are the most significant parameters that must be kept in mind before planningfor reconstruction. Aim was to evaluate the success rate of various local flaps in oral reconstruction aswell as to conclude whether or not the reconstruction method influences postoperative quality of life.Methods: This is a descriptive study carried out at Armed Forces Institute of Dentistry, (AFID)Rawalpindi. Sample size comprises of 24 subjects, 16 males and 8 females, who reported to thediagnostic department of AFID from 15 March 2007 to 15 March 2010. Results: A total of 24 patientswith oral squamous cell carcinoma were treated in 3 years, out of them 16 (66.7%) were male and 8(33.3%) were female. The peak incidence was in the 6th and 7th decade of life (37.5%). The mostcommon site involved was the alveolus 37.5% in the reported cases followed by tongue (25%) andbuccal mucosa (25%). In 8 (33.3%) patients local resection was performed, in 4 (16.7%) patientsresection along with neck dissection was done. In 12 (50%) patient tumour resection followed by neckdissection and immediate reconstruction was also done out of these 12 patients nasolabial flapreconstruction was done in 6 patient (25%), Karapandzic in 4 (16%) patients, and fan flap in 2 (8%)patients. No complication noticed other than wound dehiscence (2 patients), microstomia andcircumoral scarring (1 patient). Mean hospital stay was 7 days.Keywords: Reconstruction, Resection, Local Flaps, Neck Dissection, Tumour, Karapandzic Flap,Nasolabial Flap, Fan Flap, Microstomia, Circumoral Scarring
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