Abstract
A 34-year-old woman presented with a progressive oral ulcer, and redness and swelling
of the skin over the mandible. Radiological and histological examination showed adenoid
cystic carcinoma of the mandible and floor of the mouth with extensive invasion. We
radically resected the tumour with sufficient margins, and cut off segments of fibula,
reshaped them and fixed them into the mandibular angles bilaterally. We used three
perforator flaps, (the soleus muscle, the third, and fourth perforator flaps) to reconstruct
the defects of the tongue, mentum, and oral floor, respectively. Recovery was good
postoperatively, and there was no infection or any other complications.
Keywords
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Article info
Publication history
Published online: December 19, 2019
Accepted:
October 29,
2019
Identification
Copyright
© 2019 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.