Buccal Myomucosal Flap Reconstruction After Resection of Palatal Mucoepidermoid Carcinoma. Ann Plast Surg 2019 Nov;83(5):538-541
Date
04/26/2019Pubmed ID
31021844DOI
10.1097/SAP.0000000000001949Scopus ID
2-s2.0-85073183848 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
Salivary gland tumors are rare, constituting approximately 0.5% of pediatric malignancies, yet account for over 50% of malignant salivary gland neoplasms, of which a majority are mucoepidermoid carcinomas (MECs). We present a case of MEC involving the palatal minor salivary gland of an adolescent patient successfully reconstructed using buccal myomucosal flap. The subject presented as a 17-year-old male with a painless left hard palatal mass found to have imaging suspicious for minor salivary gland tumor and punch biopsy consistent with a low-grade MEC. The subject underwent wide local excision of a 1.0 × 1.2 cm mass with 1.0 cm margins down to hard palate nasal mucosa excluding the abutting first and second molars of the ipsilateral maxilla. Pathology confirmed low-grade MEC confined to hard palate. Two weeks, thereafter, the subject underwent buccal myomucosal flap reconstruction inset into the palatal defect and divided 2 weeks thereafter. Postoperative course was complicated by a pinpoint oronasal fistula at the posterior aspect of the flap-palate junction requiring reelevation and advancement. The subject subsequently recovered without complication. Mucoepidermoid carcinomas represent rare, malignant minor salivary gland tumors with nonspecific presentations that require multidisciplinary workup and management. The authors recommend reconstruction of resultant palatal defects to prevent progression to oronasal fistulae or speech and swallow impairment.
Author List
Kimia R, Shakir S, Jackson OA, Nguyen PDAuthor
Sameer Shakir MD Assistant Professor in the Plastic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentCarcinoma, Mucoepidermoid
Humans
Male
Mouth Mucosa
Palatal Neoplasms
Salivary Gland Neoplasms
Surgical Flaps
