A case of mucoepidermoid sublingual carcinoma in whom a platysma flap was an efficient reconstructive surgical procedure after extirpation of the sublingual gland and oral cavity

DOI 12 References
  • Shima Yutaka
    Department of Otolarynglogy, Shinshu University School of Medicine
  • Iwasaki Satoshi
    Department of Hearing Implant Sciences, Shinshu University School of Medicine
  • Miyagawa Maiko
    Department of Otolarynglogy, Shinshu University School of Medicine
  • Moteki Hideaki
    Department of Otolarynglogy, Shinshu University School of Medicine Department of Hearing Implant Sciences, Shinshu University School of Medicine
  • Mishima Yoshito
    Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine
  • Usami Shin-ichi
    Department of Otolarynglogy, Shinshu University School of Medicine

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  • 舌下腺・口腔底切除術および広頸筋弁による再建術を行った舌下腺粘表皮癌の1例

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Abstract

The frequency of sublingual gland tumor is about 1% of salivary gland tumors, and mucoepidermoid carcinoma is very rare. Here, we report a case who was pathologically diagnosed as having mucoepidermoid sublingual carcinoma, and in whom a platysma flap was an efficient reconstructive surgical procedure after extirpation of the sublingual gland and oral cavity.<br>A 40-year-old male complained of pain and a mass lesion in the right submandibular area. The result of aspiration biopsy was class II, and biopsy of the mass lesion revealed a low malignant type mucoepidermoid sublingual carcinoma. Therefore, we performed right upper neck dissection and extirpated the oral cavity including the submandibular gland and sublingual gland by the pull-through procedure. A deficit of oral cavity mucosa was repaired by suture with the gingiva side and tongue. We used a platysma flap to fill up the dead space of the oral cavity and keep the blood circulation of the mucosa. This reconstructive procedure produced good results.

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