Dermal Template for Superficial Defects Related to Intra Oral Malignancy.

Abstract

Flaps are the workhorse reconstructive options for management of defects for oral malignancy. Superficial defects are traditionally managed with skin grafting or healing by secondary intention, each of which have its own problems. We would like to share our experience of use of dermal template for superficial intra oral defects related to oral malignancy. Patients with cancerous and pre-cancerous lesions which resulted in defects involving mucosa and superficial muscles were included in the study. All the patients were managed with Matriderm 2mm dermal template without the use of skin graft/ flap. 7 patients in the period of 6months with superficial defects were managed with Matriderm alone. Two patients had lesions on the tongue while five had it on Buccal mucosa. None of these patients had post operative pain, contracture or trismus. Speech and swallowing at 6month average follow up is normal. Dermal Substitutes are effective method of management of superficial intra oral defects with no donor area morbidity.