Palatal approach for vestibuloplasty in a case of maxillectomy reconstructed with fibular osteoseptocutaneous flap

DOI 13 References
  • Abe Atsushi
    Department of Oral and Maxillofacial Surgery School of Dentistry, Aichi-Gakuin University
  • Kawahara Kou
    Department of Oral and Maxillofacial Surgery School of Dentistry, Aichi-Gakuin University
  • Kohara Keitaro
    Department of Oral and Maxillofacial Surgery School of Dentistry, Aichi-Gakuin University
  • Itoh You
    Department of Oral and Maxillofacial Surgery School of Dentistry, Aichi-Gakuin University
  • Yokoi Tomo
    Department of Oral and Maxillofacial Surgery School of Dentistry, Aichi-Gakuin University
  • Fukuda Kouta
    Department of Oral and Maxillofacial Surgery School of Dentistry, Aichi-Gakuin University
  • Nakayama Atsushi
    Department of Oral and Maxillofacial Surgery School of Dentistry, Aichi-Gakuin University
  • Kurita Kenichi
    Department of Oral and Maxillofacial Surgery School of Dentistry, Aichi-Gakuin University

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Other Title
  • 上顎部分切除・腓骨皮弁再建症例に対し口蓋側アプローチにて口腔前庭形成術を施行した1例

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Description

However, when the flap is thick with fat tissue, the prosthetic appliance is unstable, resulting in the need for defatting of the flap.<br>A 73-year-old woman underwent resection of the maxilla and reconstruction using a fibular osteocutaneous flap. Although the flap was successfully transferred, the oral vestibule could not be created due to the bulkiness of the flap. The dental prosthesis was, therefore, unstable, requiring vestibuloplasty, which was performed 11 months after the reconstruction. In the usual setting, the flap is thinned from the lip side. However, the fibula was fixed with plates on the labial side. Thus, the flap was elevated from the posterior side and debulked to avoid exposure of the plates. The oral vestibule was formed sufficiently deep without infection postoperatively.

Journal

  • Toukeibu Gan

    Toukeibu Gan 38 (4), 403-407, 2012

    Japan Society for Head and Neck Cancer

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