A cure for xerostomia? Free jejunal patch graft in oral reconstruction.
A case of oral carcinoma associated with extensive leukoplakia and severe xerostomia is presented. The advantage of using a free jejunal patch graft to restore large intra-oral mucosal defects and concurrently eradicate xerostomia is demonstrated. Further, it is recommended that a tracheostomy be used routinely in such cases to avoid postoperative aspiration of the graft secretions. Following healing the use of osseointegrated implants can complete oral rehabilitation without compromising the graft.
Lam
T C
TC
St. Vincent's Hospital, Sydney, Australia.
Stevenson
A R
AR
Swift
R
R
D000368:Aged; D018289:Carcinoma, Verrucous / Q000601:surgery*; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D005260:Female; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation / Q000601:surgery; D007583:Jejunum / Q000637:transplantation*; D007972:Leukoplakia, Oral / Q000601:surgery*; D009061:Mouth Mucosa / Q000601:surgery*; D009062:Mouth Neoplasms / Q000601:surgery*; D012859:Sjogren's Syndrome / Q000628:therapy; D014139:Tracheostomy; D014987:Xerostomia / Q000628:therapy*
D015921:Dental Implants