Free jejunal patch to reconstruct oral scar contracture following caustic ingestion. |
| |
Authors: | S Ichioka T Nakatsuka K Yoshimura N Kaji K Harii |
| |
Affiliation: | Department of Plastic and Reconstructive Surgery, Saitama Medical School, Japan. |
| |
Abstract: | Reconstruction of oral scar contracture is often a challenging problem due to the complex structures and functions of the oral cavity. This report describes the treatment of a patient who sustained extensive oral scar contracture following caustic liquid soda ingestion. Surgical release of the scar contracture formed an S-shaped, thin, long defect that was difficult to cover with a conventional flap or skin graft. A jejunal segment was transferred microsurgically as a patch to reconstruct the defect. It sustained a sufficient oral space to provide full opening of the mouth and good movement of the tongue. A free jejunal flap, used occasionally for reconstruction following oral cancer resection, has significant advantages for restoration of function after release of an oral scar contracture. |
| |
Keywords: | |
|
|