Case reports in dentistry · 2025
Secondary Revision Surgery Using a Tensor Fascia Lata Sling Following Head and Neck Reconstruction.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Nemoto Hitoshi, Imagawa Kotaro, Morita Daiki, Seki Yukio, Uchibori Masahiro, Aoki Takayuki, Sasaki Masashi, Ota Yoshihide
Аннотация
BACKGROUND: Osteocutaneous flaps are the standard approach for performing reconstruction after a mandibulectomy. Soft tissue reconstruction alone may be performed for tumor progression or patient burden; however, it may cause a loss of oral function and issues concerning cosmetic appearance. We performed secondary revision surgery using the tensor fascia lata. This report presents a contour revision surgery for one case in which optimal flap selection was not possible during immediate reconstruction due to various reasons.
METHODS: A 63-year-old woman with idiopathic thrombocytopenic purpura and left lower gingival cancer (pT4a N3, M0, Stage IVa) underwent left hemimandibulectomy and left neck dissection. Reconstruction was performed with a deep inferior epigastric perforator flap. Two years after the surgery, we performed a flap volume reduction and created a tensor fascia lata sling to correct a significant irregularity of the mandibular contour. The mandibular contour was greatly improved after revision surgery, and controlled occlusion was possible. A quality-of-life assessment indicated an improved cosmetic appearance.
CONCLUSION: This method is relatively simple and less invasive than bone grafting. It potentially solves some problems associated with mandibular reconstruction using only soft tissue.
METHODS: A 63-year-old woman with idiopathic thrombocytopenic purpura and left lower gingival cancer (pT4a N3, M0, Stage IVa) underwent left hemimandibulectomy and left neck dissection. Reconstruction was performed with a deep inferior epigastric perforator flap. Two years after the surgery, we performed a flap volume reduction and created a tensor fascia lata sling to correct a significant irregularity of the mandibular contour. The mandibular contour was greatly improved after revision surgery, and controlled occlusion was possible. A quality-of-life assessment indicated an improved cosmetic appearance.
CONCLUSION: This method is relatively simple and less invasive than bone grafting. It potentially solves some problems associated with mandibular reconstruction using only soft tissue.