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Advancement cheiloplasty for reconstruction of floor of mouth defects

Published online by Cambridge University Press:  29 June 2007

John S. Rubin
John S. Rubin*
Affiliation:
Montefiore Medical Centre, Bronx, N.Y., USA.
*
Dr John S. Rubin, M.D., F.A.C.S., 48 Sagamore Road, Bronxville, N.Y. 10708, USA.
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Abstract

In many cases of carcinoma of the floor of mouth, oncologic resection includes marginal mandibulectomy. Reconstruction poses a significant challenge. Requirements include coverage with thin but supple tissue to allow for dental implant or denture, and recreation of a mobile tongue and sensate floor of mouth gutter. Reconstructive efforts have ranged from skin grafts to free flaps, with variable success in fulfilling the above-mentioned requirements.

This paper describes the preferred technique of the author, in which external mandibular periosteum is saved and elevated with a submucosal flap of lower lip, raised to the level of the vermilion border. This flap is then advanced to ventral tongue. In this manner the entire anterior floor of mouth can be reconstructed.

Cases are presented demonstrating different aspects to the technique.

Keywords

Mouth neoplasmsMouth floor, surgery, Lip
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 6 , June 1994 , pp. 486 - 489
Copyright
Copyright © JLO (1984) Limited 1994

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References

Aviv, J. E., Urken, M. L., Lawson, W., Biller, H. F. (1992) The superior trapezius myocutaneous flap in head and neck reconstruction. Archives of Otolaryngology, Head and Neck Surgery 118: 702–706.CrossRefGoogle ScholarPubMed
Davidson, J., Boyd, B., Gullane, P., Rotstein, L., Freeman, L., Manktelow, R., Rosen, I. (1991) A comparison of the results following oromandibular reconstruction using a radial forearm flap with either radial bone or a reconstruction plate. Plastic and Reconstructive Surgery 88: 201–208.CrossRefGoogle ScholarPubMed
Gluckman, J. L., Savoury, L. W. (1991). Otolaryngology. 3rd Edition. (Paparella, M. M., Shumrick, D. K., Gluckman, J. L., Myerhoff, A. E., eds.), W. B. Saunders Co., Philadelphia, pp 2041–2067.Google Scholar
Haughey, B. H., Frederickson, J. M. (1991) The latissimus dorsi donor site. Archives of Otolaryngology, Head and Neck Surgery 117: 1129–1134.CrossRefGoogle ScholarPubMed
Kasler, M., Banhidy, F. G., Trizna, Z. (1992) Experience with the modified pectoralis major myocutaneous flap. Archives of Otolaryngology, Head and Neck Surgery 118:931–932.CrossRefGoogle ScholarPubMed
McGregor, I. A. (1992). Rob and Smith's Operative Surgery – Head and Neck, Part I, (McGregor, I. A., Howard, D. J., eds.), Butterworth-Heinemann Ltd, Oxford, pp 254–269.Google Scholar
Mixter, R. C., Mayfield, K., Dibbell, D. G., Rao, V. K. (1991) Intraoral reconstruction with a microvascular peritoneal flap. Plastic and Reconstructive Surgery 88: 452–457.Google Scholar
Netterville, J. L., Panje, W. R., Maves, M. D. (1987) The trapezius myocutaneous flap. Dependability and limitations. Archives of Otolaryngology, Head and Neck Surgery 113: 271–281.Google Scholar
Rojananin, S., Suphaphongs, N. (1991) The infrahyoid musculocutaneous flap in head and neck reconstruction. American Journal of Surgery 162: 400–403.CrossRefGoogle ScholarPubMed
Schusterman, M. A., Kroll, S. S., Weber, R. S., Byers, R. M., Guillamondegui, O., Goepfert, H. (1991) Intraoral soft tissue reconstruction after cancer ablation: a comparison of the pectoralis major flap and the free radial forearm flap. American Journal of Surgery 162: 397–399.Google Scholar
Sessions, D. G., Cummings, C. W., Weymuller, E. A., Makielski, K. A., Wood, P. (1992). Atlas of Access and Reconstruction in Head and Neck Surgery, Mosby Year Book, St Louis, pp 41–42.Google Scholar
Silver, C. E., Missiorek, D. J. (1986). Atlas of Head and Neck Surgery, (Silver, C. E., ed.), Churchill-Livingstone, New York, pp 75–112.Google Scholar
Tiwari, R. (1990) Experiences with the sternocleidomastoid muscle and myocutaneous flaps. Journal of Laryngology and Otology 104: 315–321.CrossRefGoogle ScholarPubMed
Urken, M. L., Weinberg, H., Vickery, C., Buchbinder, D., Lawson, W., Biller, H. F. (1991) Oromandibular reconstruction using microvascular composite free flaps. Archives of Otolaryngology, Head and Neck Surgery 117: 733–744.CrossRefGoogle ScholarPubMed