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Updated: Jul 10, 2026

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Reconstrucción de defectos gingivobucales laterales después de la resección de cáncer oral: un enfoque sistemático

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.

Oral and maxillofacial surgery clinics of North America

|February 20, 2026

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.

Palabras clave:

colgajo ALT defectos de mejilla colgajo de peroné libre defectos gingivobucales cáncer oral reconstrucción

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