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Short communication| Volume 58, ISSUE 3, P355-357, April 2020

Complicated intraoral defects: reconstruction using a three-paddle perforator free flap. A case report

  • J. Li
    Affiliations
    Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, 233000, China
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  • P. Song
    Correspondence
    Corresponding author at: Department of Plastic Surgery, The First Affiliated Hospital of Bengbu Medical College, 287 Changhuai Road, Bengbu, Anhui, 233000, China. Tel.: +86-0552-3086141.
    Affiliations
    Department of Plastic Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, 233000, China
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  • D. Yang
    Affiliations
    Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, 233000, China
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  • L. Liu
    Affiliations
    Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, 233000, China
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  • J. Wang
    Affiliations
    Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, 233000, China
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Published:December 19, 2019DOI:https://doi.org/10.1016/j.bjoms.2019.10.318

      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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