PMC6415282_01
Pre-op view of the orocutaneous mandibular fistula from the bottom.
CRID2019-3438626.001.jpg
PMC6415282_01_CRID2019-3438626.001.jpg
fig1
A 56-year-old male patient, whose plasmacytoma was enucleated 3 years ago from the medial side of the left mandible, was referred to our clinic due to his complaints of persistent orocutaneous fistula (Figures 1-3).
Figure shows the relation of defect with oral cavity.
CRID2019-3438626.002.jpg
PMC6415282_01_CRID2019-3438626.002.jpg
fig2
A 56-year-old male patient, whose plasmacytoma was enucleated 3 years ago from the medial side of the left mandible, was referred to our clinic due to his complaints of persistent orocutaneous fistula (Figures 1-3).
Intraoral view of the fistula; the light from outside can be seen through the defect hollow.
CRID2019-3438626.003.jpg
PMC6415282_01_CRID2019-3438626.003.jpg
fig3
A 56-year-old male patient, whose plasmacytoma was enucleated 3 years ago from the medial side of the left mandible, was referred to our clinic due to his complaints of persistent orocutaneous fistula (Figures 1-3).
The rotation of the submandibular pedicled flap to the defected site.
CRID2019-3438626.004.jpg
PMC6415282_01_CRID2019-3438626.004.jpg
fig4
Following the mobilization of the gland, a soft tissue tunnel was prepared between the submandibular space and the defect area and the submandibular gland was rotated by passing the gland through the soft tissue tunnel by preserving the pedicle (Figure 4).
Post-op 6 months; closure of the fistula could be seen from the intraoral view.
CRID2019-3438626.005.jpg
PMC6415282_01_CRID2019-3438626.005.jpg
fig5
The postoperative healing was uneventful, and at the sixth month follow-up visit, ideal closure of the fistula was observed (Figures 5 and 6).
Extraoral operation site in 6 months.
CRID2019-3438626.006.jpg
PMC6415282_01_CRID2019-3438626.006.jpg
fig6
The postoperative healing was uneventful, and at the sixth month follow-up visit, ideal closure of the fistula was observed (Figures 5 and 6).