In reconstructive surgery of the floor of the mouth following ablation a tumor, it is important to respect certain basic principles: the preservation of a good motility of the tongue, restoration of the sulcus between lip and tongue, the maintenance of perfect lining for the oral cavity, to avoid the formation of dead spaces and orocutaneous fistulae. Numerous techniques are available for the resurfacing of the oral cavity. The choice between them must be based on a careful evaluation of the severity of the defect resulting from the removal of the primary lesion. These conditions may be identified as: defects limited to the soft tissues, with preservation of the mandibular arch and the muscles of the floor of the mouth: full thickness defects with or without preservation of the mandibular arch but with complete removal of the muscles of the floor of the mouth on the side of the cancer, and concomitant neck dissection. In the first case, reconstructive procedures include random or arterialized pedicled flaps, in the form of naso-labial, cervical or forehead flaps, laid on the residual muscular component. In the second case there is a specific indication for musculo-cutaneous flaps. In fact, while skin provides adequate coverage for intraoral tissue loss, muscles provide a perfect solution for filling the defect resulting from removal of the floor of the mouth.
|Translated title of the contribution||Reconstruction of the floor of the mouth|
|Number of pages||5|
|Journal||Annales de Chirurgie Plastique et Esthetique|
|Publication status||Published - 1983|
ASJC Scopus subject areas