RECONSTRUCTIVE PLASTIC SURGERY IN TREATMENT OF PATIENTS WITH MALIGNANT TUMORS OF THE ORAL CAVITY

Abstract

Introduction: Currently the problems of treating patients with advanced carcinomas of the oral cavity, and especially the reconstructive surgery for this causes, are very relevant. Materials and methods: We analyzed 127 reconstructive operations performed for patients with oral cancer. We used free (90 cases - 71%) and pedicle (37 cases - 29%) flaps for the reconstruction. Results: Good functional results were achieved in most cases (85%). Adequate mobility of the tongue was restored by using skin-fascial flaps. In cases of reconstruction of the maxillofacial region (mandible and maxilla) with the use of bone flaps it was possible to restore the continuity of mandible and maxilla, the natural contour of the face and the opening of the mouth. Conclusions: To achieve good functional and cosmetic results as well as to reduce postoperative complications of reconstructive surgery in patients with oral cavity tumors an adequate reconstructive material should be selected depending on the prevalence of the tumor process, the volume of reconstruction and previous treatment.