Through-and-through defect of soft tissues of the cheek, mouth angles, upper and lower lip originate from surgical intervention of tumors of the oral cavity involving external skin, soft tissue and oral lining. The article describes an original method of one-stage reconstruction in N. N. Blokhin National Medical and Research Center of Oncology. Russian Federation’s patent № 2489096 was granted for this method. We propose to use 3 different flaps from different anatomic areas, which have varying histological structures and independent blood supply. The first flap - muscle, is formed from the biggest part of the muscles masseter from the affected side and serves to restore the functions of the lips and cheek due to the fact that after the formation of the flap two its parts fixed to the remnants of the muscles of the upper and lower lips and part of the buccal muscle. The flap is perfusion by a. maxillaris and a. facialis. The second flap - musculocutaneous, formed from the skin of areas adjacent to the defect, nasolabial or submandibular. The flap serves to replace a skin defect, defect of the cheek, upper and lower lips. The flap is perfusion by a. facialis. The third flap - fascial, formed from the temporal fascia on the affected side. The temporal fascial flap is used to replace the defect of the mucous membrane of the cheek, upper and lower lips, in addition, the red border of the lips and the corner of the mouth. The flap is perfusion by aa. temporalis profunda et superficialis. All three flaps perfectly carry out hermetic sealing of the oral cavity, independent perfusion of each flap, even in the case of necrosis of one of the flaps, allows preservation of hermeticism. The use of three flaps with different histological structure allows to achieve a good functional and aesthetic result. Flaps perform various functions, ensuring the functional and anatomical usefulness of the resected tissues. By improving the blood suppling of flaps, we reduce time for patient’s rehabilitation and postoperative damage.
| Published in | Journal of Surgery (Volume 8, Issue 1) |
| DOI | 10.11648/j.js.20200801.15 |
| Page(s) | 22-27 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Plastic, Replacement, Defect, Reconstruction, Flap
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| [3] | Chudakov O. P., Trizna N. M., Tesevich L. I. Options for compensating through defects in the quantum region using organotypic plastic material. Patent № a20040633. 07.07.2004. |
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| [15] | Sakakibara A, Matsumoto K, Hasegawa T, Minamikawa T, Komori T. Single-stage reconstruction for buccal mucosa tumor resection including the labial commissure using a facial artery musculomucosal flap and a vermilion advancement flap. J Surg Case Rep. 2017; 20 (6): rjx108. |
APA Style
Igor Zaderenko, Ali Mudunov, Sergey Ivanov, Sevil Alieva, Vasiliy Tsiklauri, et al. (2020). 013Novel Method of Substitution for Combine Through-and-through Angle of the Mouth, Fragments of Upper and Lower Lips Defect. Journal of Surgery, 8(1), 22-27. https://doi.org/10.11648/j.js.20200801.15
ACS Style
Igor Zaderenko; Ali Mudunov; Sergey Ivanov; Sevil Alieva; Vasiliy Tsiklauri, et al. 013Novel Method of Substitution for Combine Through-and-through Angle of the Mouth, Fragments of Upper and Lower Lips Defect. J. Surg. 2020, 8(1), 22-27. doi: 10.11648/j.js.20200801.15
AMA Style
Igor Zaderenko, Ali Mudunov, Sergey Ivanov, Sevil Alieva, Vasiliy Tsiklauri, et al. 013Novel Method of Substitution for Combine Through-and-through Angle of the Mouth, Fragments of Upper and Lower Lips Defect. J Surg. 2020;8(1):22-27. doi: 10.11648/j.js.20200801.15
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Download@article{10.11648/j.js.20200801.15,
author = {Igor Zaderenko and Ali Mudunov and Sergey Ivanov and Sevil Alieva and Vasiliy Tsiklauri and Alexander Kazimov and David Safarov and Alexandra Eremina and Alena Hromushina and Bulat Bektimirov and Alexander Dymnikov},
title = {013Novel Method of Substitution for Combine Through-and-through Angle of the Mouth, Fragments of Upper and Lower Lips Defect},
journal = {Journal of Surgery},
volume = {8},
number = {1},
pages = {22-27},
doi = {10.11648/j.js.20200801.15},
url = {https://doi.org/10.11648/j.js.20200801.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200801.15},
abstract = {Through-and-through defect of soft tissues of the cheek, mouth angles, upper and lower lip originate from surgical intervention of tumors of the oral cavity involving external skin, soft tissue and oral lining. The article describes an original method of one-stage reconstruction in N. N. Blokhin National Medical and Research Center of Oncology. Russian Federation’s patent № 2489096 was granted for this method. We propose to use 3 different flaps from different anatomic areas, which have varying histological structures and independent blood supply. The first flap - muscle, is formed from the biggest part of the muscles masseter from the affected side and serves to restore the functions of the lips and cheek due to the fact that after the formation of the flap two its parts fixed to the remnants of the muscles of the upper and lower lips and part of the buccal muscle. The flap is perfusion by a. maxillaris and a. facialis. The second flap - musculocutaneous, formed from the skin of areas adjacent to the defect, nasolabial or submandibular. The flap serves to replace a skin defect, defect of the cheek, upper and lower lips. The flap is perfusion by a. facialis. The third flap - fascial, formed from the temporal fascia on the affected side. The temporal fascial flap is used to replace the defect of the mucous membrane of the cheek, upper and lower lips, in addition, the red border of the lips and the corner of the mouth. The flap is perfusion by aa. temporalis profunda et superficialis. All three flaps perfectly carry out hermetic sealing of the oral cavity, independent perfusion of each flap, even in the case of necrosis of one of the flaps, allows preservation of hermeticism. The use of three flaps with different histological structure allows to achieve a good functional and aesthetic result. Flaps perform various functions, ensuring the functional and anatomical usefulness of the resected tissues. By improving the blood suppling of flaps, we reduce time for patient’s rehabilitation and postoperative damage.},
year = {2020}
}
TY - JOUR T1 - 013Novel Method of Substitution for Combine Through-and-through Angle of the Mouth, Fragments of Upper and Lower Lips Defect AU - Igor Zaderenko AU - Ali Mudunov AU - Sergey Ivanov AU - Sevil Alieva AU - Vasiliy Tsiklauri AU - Alexander Kazimov AU - David Safarov AU - Alexandra Eremina AU - Alena Hromushina AU - Bulat Bektimirov AU - Alexander Dymnikov Y1 - 2020/02/10 PY - 2020 N1 - https://doi.org/10.11648/j.js.20200801.15 DO - 10.11648/j.js.20200801.15 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 22 EP - 27 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20200801.15 AB - Through-and-through defect of soft tissues of the cheek, mouth angles, upper and lower lip originate from surgical intervention of tumors of the oral cavity involving external skin, soft tissue and oral lining. The article describes an original method of one-stage reconstruction in N. N. Blokhin National Medical and Research Center of Oncology. Russian Federation’s patent № 2489096 was granted for this method. We propose to use 3 different flaps from different anatomic areas, which have varying histological structures and independent blood supply. The first flap - muscle, is formed from the biggest part of the muscles masseter from the affected side and serves to restore the functions of the lips and cheek due to the fact that after the formation of the flap two its parts fixed to the remnants of the muscles of the upper and lower lips and part of the buccal muscle. The flap is perfusion by a. maxillaris and a. facialis. The second flap - musculocutaneous, formed from the skin of areas adjacent to the defect, nasolabial or submandibular. The flap serves to replace a skin defect, defect of the cheek, upper and lower lips. The flap is perfusion by a. facialis. The third flap - fascial, formed from the temporal fascia on the affected side. The temporal fascial flap is used to replace the defect of the mucous membrane of the cheek, upper and lower lips, in addition, the red border of the lips and the corner of the mouth. The flap is perfusion by aa. temporalis profunda et superficialis. All three flaps perfectly carry out hermetic sealing of the oral cavity, independent perfusion of each flap, even in the case of necrosis of one of the flaps, allows preservation of hermeticism. The use of three flaps with different histological structure allows to achieve a good functional and aesthetic result. Flaps perform various functions, ensuring the functional and anatomical usefulness of the resected tissues. By improving the blood suppling of flaps, we reduce time for patient’s rehabilitation and postoperative damage. VL - 8 IS - 1 ER -
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