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.
Ichioka
S
S
Department of Plastic and Reconstructive Surgery, Saitama Medical School, Japan.
Nakatsuka
T
T
Yoshimura
K
K
Kaji
N
N
Harii
K
K
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