Citation

Ichioka S, Nakatsuka T, Yoshimura K, Kaji N, Harii K. Ann. Plast. Surg. 1999; 43(1): 83-86.

Copyright

(Copyright © 1999, Lippincott Williams and Wilkins)

DOI

10.1097/00000637-199907000-00013

PMID

10402992

Abstract

Reconstruction of oral scar contracture is often a challenging problem due to the complex structures and functions of the oral cavity. This report describes the treatment of a patient who sustained extensive oral scar contracture following caustic liquid soda ingestion. Surgical release of the scar contracture formed an S-shaped, thin, long defect that was difficult to cover with a conventional flap or skin graft. A jejunal segment was transferred microsurgically as a patch to reconstruct the defect. It sustained a sufficient oral space to provide full opening of the mouth and good movement of the tongue. A free jejunal flap, used occasionally for reconstruction following oral cancer resection, has significant advantages for restoration of function after release of an oral scar contracture.

Language: en

Keywords

Burns, Chemical; Cicatrix; Contracture; Follow-Up Studies; Humans; Jejunum; Mouth; Postoperative Complications; Reoperation; Suicide, Attempted; Surgical Flaps