Free jejunal patch to reconstruct oral scar contracture following caustic ingestion.
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.
Department of Plastic and Reconstructive Surgery, Saitama Medical School, Japan.
S
S
Ichioka
T
T
Nakatsuka
K
K
Yoshimura
N
N
Kaji
K
K
Harii
D002057:Burns, Chemical / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery*; D003286:Contracture / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D009055:Mouth / Q000187:drug effects / Q000293:injuries*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013406:Suicide, Attempted; D013524:Surgical Flaps