Management of Intraoral Surgical Defects Using Sublingual Gland Flap. Issue 8 (November 2020)

• Record Type: Journal Article
• Authors: Jose, Anson; Rawat, Aditi; Singh, Shagun; Nagori, Shakil Ahmed; Roychoudhury, Ajoy
• Is Part Of: Journal of craniofacial surgery. Volume 31:Issue 8(2020)
• Publication Date: 2020-11
• Subjects: Medication induced osteonecrosis of jaw -- reconstruction sublingual gland flap; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000006714
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: The aim of the study was to evaluate the effectiveness of sublingual gland flap in the reconstruction of surgical defect following sequestrectomy in medication induced osteonecrosis of jaws (MRONJ), osteomyelitis (OML), and osteoradionecrosis (ORN) of mandible. A total of 6 patients with MRONJ (n = 4) osteomyelitis (n = 1) and ORN (n = 1) underwent sequestrectomy and reconstruction with sublingual gland flap. There were 03 males and 03 females. The age range was 45–71–70 years. All defects were present in the posterior mandible. All patients' undergone sequestrectomy, debridement, and reconstruction with sublingual gland flap under local anesthesia. Postoperatively patients were followed up at 1, 3, and 6 months. Patients were monitored for complete epithelization of defect, infection, pain, and recurrence of the lesion. Complete epithelization with closure of the defect was achieved in all cases. None of the patients had residual pain or inflammation at the surgical site. None of our patients experienced any donor site morbidities. There was no case of postoperative infection. Reconstruction of intraoral defects using sublingual gland flap is an effective treatment modality to reconstruct small to medium sized defect of oral cavity. Abstract : Supplemental Digital Content is available in the text