RECONSTRUCTIVE POSSIBILITIES IN ORAL COMMISSURE RECONSTRUCTION

Victor – Vlad Costan, Mihaela Paula Toader, Cristian Ilie Drochioi, Raluca Dragomir, Mihai Liviu Ciofu, Eugenia Popescu, Otilia Boisteanu

ABSTRACT

Aim of the study The purpose of this study is to present our experience regarding the reconstruction of extended oral commissure defects following oncologic resections. Material and methods We reviewed 12 cases of neoplasias involving the oral commissure, that were surgically removed and the defect was reconstructed using loco-regional and free flaps. Results The functional outcomes were favourable in all the included patients, with acceptable cosmetic results. The advantages and limitations of each technique are discussed in relation to the type of defect. Conclusions Full-thickness defects of the oral commissure are difficult to reconstruct, due to the functional aspects involved in eating and phonation. The best results can be achieved when the selection of each reconstructive technique is made in accordance with the characteristics of the defect, in knowledge of the advantages and disadvantages of each method.

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