By Terry A. Day, Douglas A. Girod
Status because the so much finished reference on oral melanoma reconstruction, this instruction manual serves as an all-encompassing compendium of surgical and beauty recommendations for the reconstruction of bone, muscle tissue, nerves, arteries, and anatomical buildings of the oral hollow space- overlaying wounds extending from the lips to the pharynx with exact illustrations depicting the precise suggestions applied for useful and beauty fix and optimization of caliber of existence.
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Extra info for Oral Cavity Reconstruction
Sample text
To approach this ideal, the interactions between structures both within and beyond the oral cavity must be considered (Fig. 1). Furthermore, advanced reconstructive techniques typically require utilizing or transversing structures adjacent to the oral cavity. Thus, a detailed understanding of both the structures within the oral cavity, and those related to it, is necessary to achieve the best reconstructive results. 11 12 Spiegel and Deschler Frenulum of upper lip Hard palate Soft palate and urula (Tonsil) palatine Palato pharyngeal arch Palatoglossal arch Palatine tonsil Dorsum of tongue Apex of tongue Gingiva (gum) Vestibule of mouth Frenulum of lower lip Figure 1 Anterior and intra-oral view of the oral cavity.
Assuming a clear margin, the remaining proximal nerve stump within the mandible is in a poor position for grafting, especially if an osseous flap is being used for reconstruction. However, the remaining nerve can usually be pulled out of the mandible with gentle traction and brought through the inferior alveolar canal. This provides a more easily approached proximal nerve stump for placement of an interposition cable nerve graft to re-establish connection between this proximal inferior alveolar nerve stump and the distal mental nerve stump.
Patterson HC, Anonsen C, Weymuller EA, Webster RC. The cheek-neck rotation flap for closure of temporozygomatic-cheek wounds. Arch Otolaryngol 1984; 110:388–393. 24. Bakamjian VY. Total reconstruction of pharynx with medially based deltopectoral skin flap. North Y State J Med 1968; 68(21):2771–2778. 25. McGregor IA. The temporal flap in intraoral reconstruction. In: Gaisford JC, ed. Symposium on Cancer of the Head and Neck. St. , 1969:72–88. 26. Cheney ML, Varvares MA, Nadol JB Jr. The temporoparietal fascial flap in head and neck reconstruction.