Defatting Vestibuloplasty for Functional and Esthetic Reconstruction of Tongue
박시역, 김민근, 김성곤, 권광준, 변진수, 박찬진, 박영욱,
소속 상세정보
박시역 ( Park Si-Yeok ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
김민근 ( Kim Min-Keun ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
김성곤 ( Kim Seong-Gon ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
권광준 ( Kwon Kwang-Jun ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
변진수 ( Byun Jin-Soo ) - Gangneung-Wonju National University College of Dentistry Department of Prosthodontics
박찬진 ( Park Chan-Jin ) - Gangneung-Wonju National University College of Dentistry Department of Prosthodontics
박영욱 ( Park Young-Wook ) - Gangneung-Wonju National University School of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 1036320140360060298
Abstract
The radial forearm free flap (RFFF) is a thin and pliable tissue with many advantages for tongue reconstruction. However, tongues reconstructed with RFFF occasionally need revision surgery because inadequate defect measurement at primary surgery can lead to bulkiness and limited movement of reconstructed tongue. In this case, the patient underwent partial glossectomy and RFFF reconstruction for treatment of tongue cancer five years prior. We could not make a lower denture for the patient, because the alveolo-lingual sulcus of tongue was almost lost. So we performed vestibuloplasty with a modified Kazanjian method on the lingual vestibule of the mandibular right posterior area, and defatting surgery to debulk the flap. After surgery, we observed that the color and texture of the revised tongue changed to become similar with adjacent tissue. The patient obtained a more functional and esthetic outcome. Accordingly, we present a case report with a review of relevant literature.
키워드
Radial forearm free flap; Defatting vestibuloplasty; Transition of skin flap
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