PDF(Pubmed)
Abstract：
OBJECTIVE: The treatment of squamous cell carcinoma (SCC) in the oral cavity for operable patients usually consists of surgical tumor resection, unilateral or bilateral neck dissection and defect reconstruction. In addition to local flaps, multiple, particularly microsurgical, distant flaps have been developed, which are mainly considered state of the art reconstruction. However, depending on previous operations and individual patient factors, microsurgical reconstruction is sometimes not suitable.
METHODS: A 54-year-old male presented to the Department of Oral and Maxillofacial Surgery with leukoplakia-like changes in the area of the soft palate. Radiological and histopathological findings revealed SCC of the soft palate. Due to the patient\'s reduced general condition, pronounced vasosclerosis and the patient\'s negative opinion towards microsurgical reconstruction, the indication for tumor resection with simultaneous temporalis flap reconstruction was made. The temporalis flap showed sufficient healing throughout the follow up.
CONCLUSIONS: For patients who are unsuitable for microsurgery (previous operations, radiation, patient\'s request), well-known local flaps such as the temporalis flap represent more than an alternative treatment for defect reconstruction. The temporalis flap is particularly suitable for defect reconstruction of the maxilla and palate due to its easy flap raising and low complication rates. This case report shows the step-by-step flap raising of temporalis flap for soft palate reconstruction.
METHODS: A 54-year-old male presented to the Department of Oral and Maxillofacial Surgery with leukoplakia-like changes in the area of the soft palate. Radiological and histopathological findings revealed SCC of the soft palate. Due to the patient\'s reduced general condition, pronounced vasosclerosis and the patient\'s negative opinion towards microsurgical reconstruction, the indication for tumor resection with simultaneous temporalis flap reconstruction was made. The temporalis flap showed sufficient healing throughout the follow up.
CONCLUSIONS: For patients who are unsuitable for microsurgery (previous operations, radiation, patient\'s request), well-known local flaps such as the temporalis flap represent more than an alternative treatment for defect reconstruction. The temporalis flap is particularly suitable for defect reconstruction of the maxilla and palate due to its easy flap raising and low complication rates. This case report shows the step-by-step flap raising of temporalis flap for soft palate reconstruction.
摘要：
目的：口腔鳞状细胞癌（SCC）的可手术治疗通常包括手术切除肿瘤，单侧或双侧颈夹层和缺损重建。除了局部襟翼,多个,特别是显微外科手术，远处的皮瓣已经发展起来，这主要被认为是最先进的重建。然而,根据以前的手术和个体患者的因素，显微外科重建有时是不合适的。
方法：一名54岁男性出现在口腔颌面外科，软腭区域出现白斑样改变。放射学和组织病理学发现显示软腭SCC。由于病人的一般情况下降，明显的血管硬化和患者对显微外科重建的负面看法，确定了肿瘤切除联合颞肌皮瓣重建的适应证。在整个随访期间，颞肌皮瓣显示出足够的愈合。
结论：对于不适合进行显微外科手术的患者（以前的手术，辐射,患者的要求)，众所周知的局部皮瓣，例如颞肌皮瓣，不仅代表了缺损重建的替代治疗方法。颞肌皮瓣由于其皮瓣容易抬起且并发症发生率低，特别适用于上颌骨和pa的缺损重建。该病例报告显示颞肌皮瓣逐步抬高用于软腭重建。
方法：一名54岁男性出现在口腔颌面外科，软腭区域出现白斑样改变。放射学和组织病理学发现显示软腭SCC。由于病人的一般情况下降，明显的血管硬化和患者对显微外科重建的负面看法，确定了肿瘤切除联合颞肌皮瓣重建的适应证。在整个随访期间，颞肌皮瓣显示出足够的愈合。
结论：对于不适合进行显微外科手术的患者（以前的手术，辐射,患者的要求)，众所周知的局部皮瓣，例如颞肌皮瓣，不仅代表了缺损重建的替代治疗方法。颞肌皮瓣由于其皮瓣容易抬起且并发症发生率低，特别适用于上颌骨和pa的缺损重建。该病例报告显示颞肌皮瓣逐步抬高用于软腭重建。
