Özet:

Objective: Our aim in this study is to retrospectively examine the results of free flaps used in the closure of intraoral defects developed after oncologic surgery and to share our experiences. Material and Methods: Between 2015 and 2020, Başkent University Plastic, Reconstructive and Aesthetic Surgery Department retrospectively screened 13 patients with intraoral defects who developed intraoral defects after a total of oncological resection. Tumor resections and neck dissections of all patients were performed by Başkent University Ear, Nose and Throat Diseases Department. Immediate reconstruction of intraoral defects were performed by Başkent University Department of Plastic, Reconstructive and Aesthetic Surgery. Results: 9 of the patients were male and 4 were female. The average age was 54.3 (22-84). The localization of the defects were at the floor of the mouth in 9 patients and the roof of the oral cavity in 4 patients. The sizes of the defects were between 5x4 cm and 17x14 cm. 6 patients underwent ipsilateral radical neck dissection in addition to tumor resection. Free radial forearm flap was applied in 7 patients, latissimus dorsi muscle skin flap in 4 patients, free fibula flap in 2 patients. Of the 6 patients with mandibular defects accompanying the floor of the mouth, 2 were reconstructed with free fibular flaps, and 4 patients were reconstructed with a 2.4 mm profiled titanium reconstruction plate. No flap lost was seen. Average follow-up time was 434 days (90-1,700). Conclusion: Free flaps can provide sufficient amount of tissue in a single session for repairing defects in the floor and roof of the oral cavity after oncological surgery. For success in surgery, a good planning with a multi-disciplinary approach in the preoperative period, careful follow-up and care in the post-operative period are required.

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