{"title":"Flap hitching technique to the teeth after oral cancer resection.","authors":"Krishnakumar Thankappan, Subramania Iyer, Mayuri Rajapurkar, Mohit Sharma, Pramod Subash","doi":"10.4103/2006-8808.100347","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>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.</p><p><strong>Materials and methods: </strong>The technique was applied in 10 patients with oral cancer, resected, and reconstructed with cutaneous flaps.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"19-21"},"PeriodicalIF":0.0000,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.100347","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of surgical technique and case report","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/2006-8808.100347","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
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.
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