case_images: PMC6415282_01
case_images: Pre-op view of the orocutaneous mandibular fistula from the bottom.
case_images: CRID2019-3438626.001.jpg
case_images: PMC6415282_01_CRID2019-3438626.001.jpg
case_images: fig1
case_images: 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).
case_images: Figure shows the relation of defect with oral cavity.
case_images: CRID2019-3438626.002.jpg
case_images: PMC6415282_01_CRID2019-3438626.002.jpg
case_images: fig2
case_images: 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).
case_images: Intraoral view of the fistula; the light from outside can be seen through the defect hollow.
case_images: CRID2019-3438626.003.jpg
case_images: PMC6415282_01_CRID2019-3438626.003.jpg
case_images: fig3
case_images: 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).
case_images: The rotation of the submandibular pedicled flap to the defected site.
case_images: CRID2019-3438626.004.jpg
case_images: PMC6415282_01_CRID2019-3438626.004.jpg
case_images: fig4
case_images: 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).
case_images: Post-op 6 months; closure of the fistula could be seen from the intraoral view.
case_images: CRID2019-3438626.005.jpg
case_images: PMC6415282_01_CRID2019-3438626.005.jpg
case_images: fig5
case_images: The postoperative healing was uneventful, and at the sixth month follow-up visit, ideal closure of the fistula was observed (Figures 5 and 6).
case_images: Extraoral operation site in 6 months.
case_images: CRID2019-3438626.006.jpg
case_images: PMC6415282_01_CRID2019-3438626.006.jpg
case_images: fig6
case_images: The postoperative healing was uneventful, and at the sixth month follow-up visit, ideal closure of the fistula was observed (Figures 5 and 6).