Reconstruction of early lower gingivo buccal complex lesions using floor of mouth advancement augmented with hyoglossus release.
The surgical treatment in early cancers of the lower gingivobuccal (GB) complex involves wide resection of the buccal mucosa and GB sulcus with or without marginal mandibulectomy. To reconstruct this defect we endeavour to describe a method of advancement of the lateral floor of mouth and tongue to provide pliable, vascularised tissue to bridge the mucosal defect and achieve tension free, primary closure whilst preserving maximum tongue mobility and maintaining adequate mouth opening, thus offering an elegant and simple solution to the problems of reconstruction in early lesions of the lower gingivo buccal complex.
Pai
Prathamesh S
PS
Department of Surgical Oncology, Tata Memorial Hospital, Dr. Ernest Borges Marg, Parel, Mumbai, India. drpai@vsnl.com
Chaturvedi
Pankaj
P
D'Cruz
Anil K
AK
Chaukar
Devendra A
DA
Pathak
Kumar Alok
KA
Deshpande
Mandar S
MS
Kar
Dilip K
DK
D002610:Cheek / Q000601:surgery; D006801:Humans; D008334:Mandible / Q000601:surgery; D009060:Mouth Floor / Q000601:surgery; D009062:Mouth Neoplasms / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D014059:Tongue / Q000601:surgery