Objectives: In this article, we present the use of the
superior labial artery musculo-mucosal (SLAMM) flap for
Patients and Methods: The study included five patients
(2 females, 3 males; mean age 36 years; range 11 to 56
years) who consulted at our clinic between October 2008
and January 2010. Five oral defects were reconstructed
with the SLAMM flap. Three patients underwent reconstruction
with SLAMM flap following oncologic resection.
The other two patients had traumatic defects in the oral
cavity which necessitated flap application. First, the distal
end of the flap was incised and the superior labial artery
was identified after dissection. After ligation of the artery,
the mucosa, submucosa and the cuff of orbicularis oris
muscle were elevated. The dissection was extended laterally
and anteriorly, depending on the necessary flap size.
Results: None of the patients had partial or total flap
necrosis. During the follow-up period, contracture developed
in only one patient. Successful reconstruction was
observed in all patients.
Conclusion: The superior labial artery musculo-mucosal
flap is a simple and feasible technique which can be used
for reconstruction of intraoral defects.
FREE FULL TEXTAnahtar Kelimeler: Ağız içi defekti; muskulo-mukozal flep; süperiyorlabial arter.