013Novel Method of Substitution for Combine Through-and-through Angle of the Mouth, Fragments of Upper and Lower Lips Defect
Journal of Surgery
Volume 8, Issue 1, February 2020, Pages: 22-27
Received: Dec. 5, 2019; Accepted: Jan. 29, 2020; Published: Feb. 10, 2020
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Authors
Igor Zaderenko, Department of Oncology and Surgical Treatment (Head and Neck Tumors), Federal State Budgetary Institution «N. N. Blokhin National Medical and Research Center of Oncology» of the Ministry of Healthcare of the Russian Federation, Moscow, Russia; Department of Maxillo-facial Surgery and Operative Dentistry, Peoples Friendship University of Russia, Moscow, Russia
Ali Mudunov, Department of Oncology and Surgical Treatment (Head and Neck Tumors), Federal State Budgetary Institution «N. N. Blokhin National Medical and Research Center of Oncology» of the Ministry of Healthcare of the Russian Federation, Moscow, Russia; Department of Maxillo-facial Surgery and Operative Dentistry, Peoples Friendship University of Russia, Moscow, Russia
Sergey Ivanov, Department of Maxillo-facial Surgery and Operative Dentistry, Peoples Friendship University of Russia, Moscow, Russia
Sevil Alieva, Department of Oncology and Surgical Treatment (Head and Neck Tumors), Federal State Budgetary Institution «N. N. Blokhin National Medical and Research Center of Oncology» of the Ministry of Healthcare of the Russian Federation, Moscow, Russia
Vasiliy Tsiklauri, Department of Oncology and Surgical Treatment (Head and Neck Tumors), Federal State Budgetary Institution «N. N. Blokhin National Medical and Research Center of Oncology» of the Ministry of Healthcare of the Russian Federation, Moscow, Russia
Alexander Kazimov, Department of Oncology and Surgical Treatment (Head and Neck Tumors), Federal State Budgetary Institution «N. N. Blokhin National Medical and Research Center of Oncology» of the Ministry of Healthcare of the Russian Federation, Moscow, Russia
David Safarov, Department of Oncology and Surgical Treatment (Head and Neck Tumors), Federal State Budgetary Institution «N. N. Blokhin National Medical and Research Center of Oncology» of the Ministry of Healthcare of the Russian Federation, Moscow, Russia
Alexandra Eremina, Department of Maxillo-facial Surgery and Operative Dentistry, Peoples Friendship University of Russia, Moscow, Russia
Alena Hromushina, Department of Maxillo-facial Surgery and Operative Dentistry, Peoples Friendship University of Russia, Moscow, Russia
Bulat Bektimirov, Department of Oncology and Surgical Treatment (Head and Neck Tumors), Federal State Budgetary Institution «N. N. Blokhin National Medical and Research Center of Oncology» of the Ministry of Healthcare of the Russian Federation, Moscow, Russia
Alexander Dymnikov, Department of Maxillo-facial Surgery and Operative Dentistry, Peoples Friendship University of Russia, Moscow, Russia
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Abstract
Through-and-through defect of soft tissues of the cheek, mouth angles, upper and lower lip originate from surgical intervention of tumors of the oral cavity involving external skin, soft tissue and oral lining. The article describes an original method of one-stage reconstruction in N. N. Blokhin National Medical and Research Center of Oncology. Russian Federation’s patent № 2489096 was granted for this method. We propose to use 3 different flaps from different anatomic areas, which have varying histological structures and independent blood supply. The first flap - muscle, is formed from the biggest part of the muscles masseter from the affected side and serves to restore the functions of the lips and cheek due to the fact that after the formation of the flap two its parts fixed to the remnants of the muscles of the upper and lower lips and part of the buccal muscle. The flap is perfusion by a. maxillaris and a. facialis. The second flap - musculocutaneous, formed from the skin of areas adjacent to the defect, nasolabial or submandibular. The flap serves to replace a skin defect, defect of the cheek, upper and lower lips. The flap is perfusion by a. facialis. The third flap - fascial, formed from the temporal fascia on the affected side. The temporal fascial flap is used to replace the defect of the mucous membrane of the cheek, upper and lower lips, in addition, the red border of the lips and the corner of the mouth. The flap is perfusion by aa. temporalis profunda et superficialis. All three flaps perfectly carry out hermetic sealing of the oral cavity, independent perfusion of each flap, even in the case of necrosis of one of the flaps, allows preservation of hermeticism. The use of three flaps with different histological structure allows to achieve a good functional and aesthetic result. Flaps perform various functions, ensuring the functional and anatomical usefulness of the resected tissues. By improving the blood suppling of flaps, we reduce time for patient’s rehabilitation and postoperative damage.
Keywords
Plastic, Replacement, Defect, Reconstruction, Flap
To cite this article
Igor Zaderenko, Ali Mudunov, Sergey Ivanov, Sevil Alieva, Vasiliy Tsiklauri, Alexander Kazimov, David Safarov, Alexandra Eremina, Alena Hromushina, Bulat Bektimirov, Alexander Dymnikov, 013Novel Method of Substitution for Combine Through-and-through Angle of the Mouth, Fragments of Upper and Lower Lips Defect, Journal of Surgery. Vol. 8, No. 1, 2020, pp. 22-27. doi: 10.11648/j.js.20200801.15
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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