Abstract
To develop a functional and morphologic reconstruction for intraoral buccal/lip mucosal defects after tumor resection. A prospective clinical series. From November 2003 to July 2006, 32 patients underwent free tongue mucosa graft reconstruction after resection of buccal or lip tumors. Graft validity and acceptability, donor site morbidity, and postoperative articulation and swallowing functions were evaluated. Regular postoperative follow-up for at least 6 (mean, 18.5; range, 6-38) months revealed good functional outcomes and satisfactory cosmetic results of grafts at recipient sites in 29 of 32 (90.6%) patients. There were minimal to mild postoperative pain and minor complications at the donor sites. Mouth opening width was preserved, and all patients could tolerate either soft or regular diets. None of the patients had postoperative functional deficiencies involving articulation, swallowing, mastication, or sense of taste. This study demonstrated that free mucosa grafts from the lateral tongue are an excellent alternative for reconstruction of buccal/lip mucosal defects after tumor resection.
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