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JAMES C. DENNENY, III, MD
Knoxville, Tenn

Arch Otolaryngol Head Neck Surg. 1988;114(1):19.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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 . . . [Full Text PDF of this Article]

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