| SURGICAL TECHNIQUE |
|
| Year : 2012 | Volume
: 4
| Issue : 1 | Page : 19-21 |
|
|
Flap hitching technique to the teeth after oral cancer resection
Krishnakumar Thankappan1, Subramania Iyer1, Mayuri Rajapurkar1, Mohit Sharma1, Pramod Subash2
1 Department of Head and Neck Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India
2 Mazumdar Shaw Cancer Center, Bangalore, Karnataka, India
Correspondence Address:
Krishnakumar Thankappan
Associate Professor, Head and Neck Institute, Amrita Institute of medical Sciences, Kochi, Kerala
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/2006-8808.100347
|
|
|
Objectives: After resection of the tumors of oral cavity adjacent to the mandible, it is a common situation that the whole of one side of the gingival mucosal segment has to be stripped off the mandible to get an adequate margin. When a cutaneous flap is used for reconstruction, it has to be hitched to the teeth to get a watertight seal. We describe a technique to hitch the flap to the adjacent teeth in such an instance. Materials and Methods: The technique was applied in 10 patients with oral cancer, resected, and reconstructed with cutaneous flaps. Results: The technique was found to be effective in all 10 patients. Adequate seal was obtained in all patients. Oral diet was started within 7 days. Conclusion: An effective and simple technique to approximate a cutaneous flap to the teeth-bearing mandible, when all the mucosa is removed as part of oncological resection, is reported. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
