A case of reconstruction after excision of maxillary gingival cancer in very elderly patient using a nasolabial flap combined with pedicled buccal fat pad

Bibliographic Information

Other Title
  • 超高齢者の上顎歯肉癌切除後の欠損再建に鼻唇溝皮弁と有茎頬脂肪体弁移植術を併用した1例

Search this article

Description

Typically, the treatment of oral cancer in very elderly patients should be by brief surgical therapy because chemotherapy and irradiation tend to be exhausting for them. The authors report here on a case they experienced in which the lost part of the maxilla after excision of maxillary gingival cancer in a very elderly patient was reconstructed using a nasolabial flap combined with pedicled buccal fat pad, and a positive outcome was achieved. The patient was an 87-year-old female. The chief complaint upon referral was gingival lesion on the maxillary left side, which was diagnosed by biopsy as squamous cell cancer. A TNM classification of T2N0M0 was decided after further evaluations. Under general anesthesia, partial maxillectomy and closure of oro-antral and oro-nasal communications using a nasolabial flap combined with pedicled buccal fat pad were performed. The combination flap became stable early in the postoperative period. Oral intake was allowed on day 7 and the patient was discharged on day thirteen after surgery. We conclude that this reconstructive surgery may be a useful method after excision of maxillary gingival cancer in very elderly patients.

Journal

  • Toukeibu Gan

    Toukeibu Gan 43 (4), 467-471, 2017

    Japan Society for Head and Neck Cancer

References(14)*help

See more

Details 詳細情報について

Report a problem

Back to top