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CC BY-NC-ND 4.0 · Indian J Plast Surg 2024; 57(02): 147-151
DOI: 10.1055/s-0043-1778643
Ideas and Innovations

Novel Asymmetric Y Design of Fascial Sling for Restoration of Oral Competence and Adequate Mouth Opening in Oral Commissure Defects Post-Malignancy Resection

Vimalendu Brajesh
1   Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta – The Medicity, Gurugram, Haryana, India
,
Sukhdeep Singh
1   Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta – The Medicity, Gurugram, Haryana, India
,
Deepak Sarin
2   Department of Head and Neck Oncosurgery, Cancer Surgery, Medanta – The Medicity, Gurugram, Haryana, India
,
Aditya Aggarwal
1   Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta – The Medicity, Gurugram, Haryana, India
,
Sanjay Mahendru
1   Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta – The Medicity, Gurugram, Haryana, India
,
Hardeep Singh
1   Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta – The Medicity, Gurugram, Haryana, India
,
Rakesh Kumar Khazanchi
1   Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta – The Medicity, Gurugram, Haryana, India
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Abstract

Reconstruction of through-and-through defects of cheek and commissure resulting from cancer resection are challenging. The specialized function of oral competence that the oral commissure and lip play is difficult to replicate with flap only reconstruction. Static slings play an important role in improving the functional and aesthetic outcome. The asymmetric “y” fascial sling helps in achieving the goals of oral competence along with adequate mouth opening. A total of 10 patients were operated by this technique. The results were satisfactory in terms of functional and aesthetic outcome postsurgery and were maintained 6 months postradiation.

Keywords

asymmetric y sling - oral commissure reconstruction - oral competence

Ethical Approval

Ethics committee approval obtained from the institutional ethics committee.


Authors' Contributions

All the authors were involved in the conception of the work, data collection, analysis and interpretation and throughout the process of the drafting and revision of the manuscript.




Publication History

Article published online:
02 February 2024

© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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