Forearm tendinocutaneous flap reconstruction in a patient with carcinoma of the mandibular gingiva extending deeply to the lower lip
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- Imaue Shuichi
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Toyama
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- Nakamori Kenji
- Department of Oral and Maxillofacial Surgery, Naha City Hospital
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- Tomihara Kei
- Divisions of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
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- Sekido Katsuhisa
- Department of Oral and Maxillofacial Surgery, Toyama Red Cross Hospital
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- Tachinami Hidetake
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Toyama
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- Sakurai Kotaro
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Toyama
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- Fujiwara Kumiko
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Toyama
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- Yamada Shinichi
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Toyama
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- Noguchi Makoto
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Toyama
Bibliographic Information
- Other Title
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- 下唇へ進展した下顎歯肉癌を長掌筋腱付き前腕皮弁で再建した1例
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Description
We experienced a case of carcinoma of the mandibular gingiva that extended deeply to the lower lip. Tumor excision while preserving the vermilion followed by forearm tendinocutaneous flap reconstruction was performed, which maintained good function and esthetics. The patient was an 84-year-old woman. The tumor was observed in the right mandibular gingiva (34mm×22mm) extending to the lower lip. A biopsy revealed a pathological diagnosis of squamous cell carcinoma. Resection was performed by bilateral neck dissection, with full-thickness resection of the lower lip while preserving the vermilion and marginal resection of the mandible. Defects in the oral cavity and lower lip were reconstructed by the forearm tendinocutaneous flap, and bridge tendon grafting was performed with the palmaris longus tendon for the resected orbicularis oris. The folded part of the forearm flap was de-epithelialized and sutured to the preserved vermilion. After the surgery, there was no insufficiency of the reconstructed lip, and the esthetic outcome was good. This method can maintain the sensation and muscle action of the lips by preserving the vermilion and should be considered in oral cancers extending to the lower lip if it is possible to preserve the vermilion.
Journal
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- Journal of Japanese Society of Oral Oncology
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Journal of Japanese Society of Oral Oncology 34 (4), 197-202, 2022
Japanese Society of Oral Oncology
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Keywords
Details 詳細情報について
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- CRID
- 1390294507109732224
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- ISSN
- 18844995
- 09155988
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed