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A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva
Published on: January 12, 2019
Reconstruction of Lateral Gingivobuccal Defects After Oral Cancer Resection: A Systematic Approach Based on a Novel
Krishnakumar Thankappan1, Tejal Patel1, Lakshmi Ravunniarth Menon1
1Department of Head and Neck Surgery and Oncology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, AIMS Ponekkara PO, Kerala 682041, India.
Abstract:
This article presents a comprehensive approach to reconstructing lateral gingivobuccal defects following oral cancer resection. The authors propose a novel six-tiered classification system based on anatomic depth and tissue layers involved: Classes 1 to 3 address partial-thickness defects (mucosa ± muscle), progressing from no bone involvement (class 1) to marginal/upper alveolar (class 2), and segmental bone resection (class 3). Classes 4 to 6 address full-thickness defects (including skin), similarly progressing through no bone, marginal/upper alveolar, and segmental bone resection. The classification aims to standardize documentation, facilitate multicenter research, and guide flap selection.
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