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- W2268717003 abstract "In this paper we describe our experience using a two-stage reconstruction procedure in 24 patients who underwent ablative buccal cancer resection. In the first stage, cheek defects were reconstructed using free radial forearm flap in 10 of the patients, and free anterolateral thigh flap in 14 of the patients. Modified stepladder lip flap for oral commissure reconstruction followed in the second stage. The modified stepladder lip flap is different from the traditional stair step flap in that each step of the flap consists of different components of tissue. The first step is a full-thickness layer comprising skin, orbicularis oris muscle and mucosa. The second step is a partial-thickness layer comprising skin, subcutaneous fat and partially split orbicularis oris muscle. The third step is a dermis layer. The 24 patients in the study (all male, with a mean age of 51 years old) were followed up for at least 6 months after the second stage commissure reconstruction. Prior to commissure reconstruction, all had symptoms of oral incompetence (saliva drooling and food/liquid expulsion), and all obtained adequate oral competence after surgery. Nine patients resumed a regular diet, 8 patients had a semi-solid diet and 7 patients had a soft diet after surgery. Six of the patients developed mild microstomia postoperatively though did not have difficulty with dietary intake. All the patients were satisfied with their postoperative appearance. Postoperative scar contracture did not occur in any of the patients. Using this technique, continuity and function of the orbicularis oris muscle can be restored, and satisfactory cosmetic and functional results can be achieved." @default.
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- W2268717003 date "2002-09-01" @default.
- W2268717003 modified "2023-09-23" @default.
- W2268717003 title "Modified Stepladder Lip Flap in Secondary Oral Commissure Reconstruction" @default.
- W2268717003 doi "https://doi.org/10.7096/jpsa.200209.0167" @default.
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