Pei-Jung CHEN
Kaohsiung Municipal Siaogang Hospital
There are several ways to reconstruct the mucosal defect following the removal of the lesions of the oral cavity. STSG (split-thickness skin graft) or artificial dermis is the most common method of reconstruction of oral mucosa defect.
The tie-over bolster technique is the most common method for securing the graft. However, that can quickly accumulate saliva and debris, causing odor and discomfort to the patient. More often, infection of the wound may be noted due to difficulty in keeping clean of the wound.
The transbuccal fixation technique is another common method for securing intraoral skin grafts. Several materials, such as a soft liner, and thermal pad, were used, but odor and discomfort to the patient were also noted. In this case, we described an alternative technique to stabilize intraoral skin graft or artificial dermis with putty-type impression silicon material. It presented surprising results in healing and better and easier wound care procedures.
