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KMID : 0360119930150030182
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
1993 Volume.15 No. 3 p.182 ~ p.188
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Reconstruction of oral commissure defect in war injuries
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민복기
최규환/정철우/강명수
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Abstract
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A technical refinement for oral commissure reconstruction is presented. the oral commissure has an important role in oral sphincteric function. Once lost, the oral commissure is very difficult to restore and therefore, econstruction of the oral
commissure requires preservation of this function as well as prevention of microstomia.
Trauma and tumor excisions are the most frequent reasons that will necessitate reconstruction of the oral commissure.
Direct approximation of the wound margins after resection of the corner of the mouth could easily induce microstomia and difficulty in opening.
Thus cases presented here deals with distortion of noraml mouth angle and acquired microstomia due to burn and tissue defect following shotgun and explosive wounds.
The a mucosal flap approach was used to redhabilitate a natural looking mouth angle showing satisfactory results function and esthetic wise.
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KEYWORD
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