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Ram M. Tiwari, MD, Amsterdam, recently presented his experience in using a masseter muscle crossover flap to aid in reconstruction of oral cavity defects following tumor ablation. Dr Tiwari reported a series of 26 flaps at the recent fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Chicago. Most of the patients in the series had T2 (16 patients) and T3 (nine patients) disease without mandibular involvement, but 18 had marginal mandibular resection. He felt this resulted in retraction of the mylohyoid muscle with loss of support to the oral cavity. He raises the masseter flap in a subperiosteal plane, preserving the neural supply, and then attaches it to either the middle constrictor, the tongue, the mylohyoid, or the posterior digastric muscles. He subsequently performs a vestibuloplasty three to six months later and fits dentures. Dr Tiwari feels this provides necessary coverage with good
DENNENY JC. Masseter Muscle Crossover Flap in Reconstruction of Oral Defects. Arch Otolaryngol Head Neck Surg. 1988;114(1):19. doi:10.1001/archotol.1988.01860130023008
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