[Extensive intraoral cicatrization treated by microsurgery]

Area of Science:

• Oral and Maxillofacial Surgery
• Reconstructive Surgery
• Burn Management

Background:

• Extensive intra-oral burns are rare but cause significant morbidity.
• Advanced cicatrization leads to microstomia, impairing oral function and hygiene.
• Traditional surgical interventions are often insufficient for extensive bucca scarring.

Observation:

• Patients presented with severe microstomia due to intra-oral burn cicatrization.
• Previous surgical attempts to widen the oral orifice were inadequate.
• Extensive scarring of the bucca complicated reconstruction.

Findings:

• A two-stage surgical approach was employed for reconstruction.
• The first stage involved substituting lip and unilateral bucca mucosa with a split jejunum graft.
• The second stage addressed progressive scarring by grafting the contralateral bucca mucosa and oral angle with a forearm flap.

Implications:

• This reconstructive strategy effectively addressed severe microstomia caused by intra-oral burns.
• The use of jejunum and forearm grafts provided a viable solution for extensive mucosal defects.
• Successful reconstruction improved oral function, enabling eating and oral hygiene.