OROFACIAL RECONSTRUCTION WITH LOCAL FLAPS AT AFID
Abstract
Background: 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 the
functional capacities of its various subunits is required to achieve good results. The stage of the disease
and extent of resection are the most significant parameters that must be kept in mind before planning
for reconstruction. Aim was to evaluate the success rate of various local flaps in oral reconstruction as
well 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 the
diagnostic department of AFID from 15 March 2007 to 15 March 2010. Results: A total of 24 patients
with 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 most
common site involved was the alveolus 37.5% in the reported cases followed by tongue (25%) and
buccal mucosa (25%). In 8 (33.3%) patients local resection was performed, in 4 (16.7%) patients
resection along with neck dissection was done. In 12 (50%) patient tumour resection followed by neck
dissection and immediate reconstruction was also done out of these 12 patients nasolabial flap
reconstruction 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 and
circumoral 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
References
Knezevic P, Uglesic V, Jokic D. Quality of life assessment for
intraoral reconstruction. Acta Stomat Croat 2002;36:47-50.
Urken ML, Weinberg H, Vickery C, Buchbinder D, Lawson W,
Biller HF. Oromandibular reconstruction using microvascular
composite free flaps: report of 71 cases and a new classification
scheme for bony, soft tissue and neurologic defects. Arch
Otolaryngol Head Neck Surg 1991;117(7):733-44.
Papadopoulos O, Konofaos P, Tsantoulas Z, Chrisostomidis C,
Frangoulis M, Karakitsos P. Lip defects due to tumor
excision:apropos of 899 cases. J Oral Oncol 2007;43(2):204-12.
Din AB. Total lower lip and commissure reconstruction using a
composite radial forearm palmaris longus free flap. J. Plast
Reconstr Surg 2007;31:73-8.
Chandu A, AM Bridgeman AM, Smith ACH, Flood SJ.
Reconstructive techniques for the repair of oral and maxillofacial
oncological procedures. Australian Dental Journal
;47(2):99-105.
Coppit GL, Lin DT and Burkey BB. Current concepts in lip
reconstruction. Curr Opin Otolaryngol Head Neck Surg
;12(4):281-7.
Ethunandan M, Macpherson DW, Santhanam V. Karapandzic
Flap for Reconstruction of Lip Defects. Journal of Oral and
Maxillofacial Surgery 2007;65(12):2512-7.
Hidalgo DA. Fibula free flap mandibular reconstruction. Clin
Plast Surg 1994;21:25-35.
Boorman J G, Green MF. A split Chinese forearm flap for
simultaneous oral lining and skin cover. Br J Plast Surg
;39(2):179-82.
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