Page 52 - MDJ Volume 47 Number 2 ( Jul-Dec 2024)

Abstracts
planus. Treatment was carried out for this patient which P013
included topical application of corticosteroids then
systemic administration of corticosteroids when there Early Intervention of Unerupted Maxillary Central
were no signs of improvement of lesions. Rheumatology Incisor: Case Series
clinic follow up by patient, confirmed the patient has Chong Jun Ai , E. C. Mah 2
1
Bechet disease with Sjögren’s syndrome. She is currently 1 Division of Clinical Oral Health Sciences, School of Dentistry, IMU University,
under management for her OLP symptoms. Diagnosis Kuala Lumpur, Malaysia, Department of Orthodontics, Faculty of Dentistry,
2
of OLP can be achieved by clinical and histopathology MAHSA University, Jenjarom, Selangor, Malaysia
examination. However, more investigations are required Background: Early intervention of an impacted maxillary
for cases which do not respond well to treatment to central incisor is crucial to avoid space loss with tipping
exclude other autoimmune diseases. of the adjacent teeth and it also allows normal root

Keywords: Bechet disease, oral lichen planus, Sjögren’s syndrome development. This case series demonstrates the clinical
considerations of a surgical-orthodontic approach in
P012 managing this eruption anomaly and its challenges. Case
Presentation: All three cases involved young patients aged
The Versatility of Bilobed Flap in Oral and Maxillofacial 7 to 9 years with an impacted upper left central incisor and
Reconstruction Surgery: A Case Series a positive history of dental trauma. Upper sectional fixed

Leong Jia Zheng, L. F. Low, M. Muhammad Ropi, K. Sutina appliance was bonded to facilitate the closed eruption
Department of Oral Surgery, Hospital Tuanku Jaafar, Seremban, Negeri of the impacted central incisor. The treatment duration
Sembilan, Malaysia increases when more space is required for the impacted
tooth. There was marginal gingival discrepancy of all the
Introduction: The bilobed flap is a double-lobed transposition treated central incisors with vertical relapse seen upon
flap commonly used in reconstructive surgery due to its review indicating the need for a careful surgical approach
versatility and effectiveness in achieving optimal cosmetic with good hygiene maintenance and a bonded retainer as
and functional outcomes. This case series illustrates the retention. Conclusion: Early referral for management of
application of bilobed flaps in the reconstruction of various an impacted maxillary central incisor through a surgical-
facial lesions, demonstrating its adaptability and success orthodontic approach is often successful but treatment
in oral and maxillofacial reconstruction surgery. Case risks, duration and retention regime should be discussed
Description: This series includes cases from an adolescent with the parents for an informed consent.
and two elderly patients. Case 1: A 68-year-old male with
basal cell carcinoma on both the chin and nasolabial area. Keywords: Child, esthetics, impacted, incisor
The nasolabial lesion was excised and reconstructed with
an advancement flap, while the chin lesion was excised P014
and reconstructed with a bilobed flap. Case 2: A 79-year- Cavernous Hemangioma of Buccal Mucosa
old male with squamous cell carcinoma in situ on the
right pre-auricular area underwent an excisional biopsy Mithra Kehayan, D. Harvinder Singh, K. Khamisah Awang
with a 4mm margin, followed by reconstruction using a Department of Oral Surgery, Hospital Slim River, Slim River, Perak, Malaysia
bilobed flap. Case 3: A 14-year-old male with a melanotic Background: Vascular anomalies encompass a wide array
nevus on the chin. The nevus was excised, and a bilobed of lesions, including vascular tumours and vascular
flap was used for reconstruction. Ensuring a safe surgical malformation which are clinically distinct. Vascular
margin for excision created a significant defect, requiring tumours which commonly known as hemangioma are
reconstruction. The bilobed flap provided sufficient benign tumours. They are congenital lesions formed
tissue for closure while ensuring satisfactory cosmetic by dysplastic vascular channels, with endothelial
results. Conclusion: The bilobed flap is a versatile and proliferation, rapid growth and involution. They
reliable option for reconstructing facial defects following commonly occur in head and neck region but rarely seen
the excision of various lesions, including squamous cell in the oral cavity. Case Report: This is a case report of a
carcinoma, basal cell carcinoma, and melanotic nevi. cavernous hemangioma of buccal mucosa in a 60 year old,
This case series highlights its utility in achieving excellent Malay, female patient which occurred for past 1 month.
cosmetic and functional results in oral and maxillofacial Patient presented with a well-defined, reddish to bluish
surgery. The bilobed flap’s design allows for precise closure lesion, measuring 1.5x1cm on the left buccal mucosa in
with minimal tension, making it particularly advantageous relation to 26 and 27 teeth. The lesion was excised under
in areas with limited tissue laxity. These cases highlighted local anaesthesia, and the histopathological features were
the flap’s adaptability and effectiveness, reinforcing its value indicative of vascular lesion and favouring cavernous
as a crucial technique in the reconstructive surgery. hemangioma. Conclusion: In conclusion, smaller vascular

Keywords: Bilobed flap, carcinoma, oral and maxillofacial anomalies can be safely treated by excision provided the
reconstructive surgery, reconstruction surgery, transposition flap adjacent vital structures are preserved.

78 Malaysian Dental Journal ¦ Volume 47 ¦ Issue 2 ¦ July-December 2024
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