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Oral Cavity Reconstruction.
Pablo Quadri1, Caitlin McMullen1
1Department of Head and Neck-Endocrine Oncology, Moffitt Cancer Center, 12902 Magnolia Drive, CSB - 6 Floor, Tampa, FL 33612, USA.
Otolaryngologic Clinics of North America
|May 10, 2023
Summary
This review details modern oral cavity reconstruction techniques to improve function. It covers various methods for soft tissue and bone repair across multiple oral sites, aiding surgical decision-making.
Area of Science:
- Reconstructive surgery
- Oral oncology
- Head and neck surgery
Background:
- Oral cavity defects require specialized reconstruction to restore function.
- Advances in reconstructive techniques are crucial for optimizing outcomes.
- A comprehensive understanding of available options is essential for surgeons.
Purpose of the Study:
- To provide an overview of current oral cavity reconstruction strategies.
- To optimize functional outcomes in patients undergoing oral resections.
- To guide the selection of appropriate reconstructive methods based on defect characteristics.
Main Methods:
- Review of soft tissue and osseous reconstruction options.
- Analysis of techniques including primary closure, skin grafts, and dermal substitutes.
- Discussion of local, regional, and free flaps for complex defects.
Main Results:
- Detailed review of reconstruction for lip, tongue, floor of mouth, buccal, and palate defects.
- Consideration of primary closure, secondary intention, skin grafts, and dermal substitutes.
- Comprehensive analysis of flap options, including anatomical considerations, indications, and complications.
Conclusions:
- Optimal functional outcomes in oral cavity reconstruction depend on careful selection of techniques.
- A range of reconstructive options are available for diverse oral defects.
- Understanding defect-specific needs and flap characteristics is key to successful reconstruction.
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