A modified groin flap for reconstruction of oral cavity defects after tumour resection.
21 patients, suffering from carcinoma in the lower part of the oral cavity, were operated on by in-continuity resection of the mandible. The removed bone was replaced by a metal plate. The soft tissue defect was completely repaired by a modified free groin flap, transplanted with microsurgical techniques. 19 patients had a complete flap take, two flaps became necrotic. No metal plate was lost during a follow up period of 1-20 months. The functional results in respect of tongue mobility were in all cases quite favourable. Techniques of flap raising and transplantation are outlined in detail.
D000328:Adult; D000368:Aged; D001860:Bone Plates; D006119:Groin; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008341:Mandibular Prosthesis; D008866:Microsurgery; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000534:rehabilitation*; D016038:Skin Transplantation; D013524:Surgical Flaps; D014059:Tongue / Q000502:physiology