Table 3 cases with composite defects
From: The submental flap for oral cavity reconstruction: Extended indications and technical refinements
Patient | Age | 1ry site | TNM stage | Extent of composite resection | Type & result of neck dissection | Pathology | Complications | Postoperative radiotherapy |
|---|---|---|---|---|---|---|---|---|
Case 1 | 65 | Ant. Floor of mouth | T2N0M0 | Floor of mouth + marginal mandibulectomy | Bilateral SOHND ve | SCC | -- | Yes |
Case 2 | 82 | Lower alveolar margin | T4N1M0 | Segmental mandibulectomy | Ipsilateral MRND +ve 1/8 | SCC | -- | No |
Case 3 | 47 | Buccal mucosa | T3N0M0 | Buccal mucosa + upper alveolar margin + partial maxillectomy | Ipsilateral MRND -ve | SCC | --- | Yes |
Case 4 | 47 | Rec. lower lip After Rth | T4N0M0 | Submental flap for total lower lip+ free fibula or mandible and floor of mouth | Ipsilateral MRND -ve | SCC | --- | No |
Case 5 | 51 | Rec. buccal mucosa After Rth | T2N0M0 | Buccal mucosa + Segmental mandibulectomy+ econstruction Plate + submental flap | Ipsilateral MRN -ve | SCC | Partial external plate Exposure covered by nasolabial flap | No |
Case 6 | 62 | Tongue and floor of mouth | T2N1M0 | Partial glossectomy + loor of mouth +upper marginal mandibulectomy | Ipsilateral MRND -ve | SCC | --- | No |
Case 7 | 33 | Central segment mandible | ameloblastoma | Marginal mandibulectomy + loor of mouth | --- | Peripheral ameloblastoma | -- | No |
Case 8 | 84 | Alveolar margin | T4N0M0 | Alveolar margin + Segmental mandi-bulectomy + econstruction plate | Ipsilateral MRND -ve | SCC | Partial external plateexposure --- debridement granulation | No |