case_images: PMC11340831_01
case_images: (a and b) The prominent swelling, reduced interincisal opening and necrosis of the skin
case_images: AMS-14-109-g001.jpg
case_images: PMC11340831_01_AMS-14-109-g001.jpg
case_images: ams.ams_227_23-f001
case_images: There was progressive discolouration and necrosis of the skin over the right submandibular region [Figure 1a and b].
case_images: Periapical rarefaction associated with a carious mandibular right second molar
case_images: AMS-14-109-g002.jpg
case_images: PMC11340831_01_AMS-14-109-g002.jpg
case_images: ams.ams_227_23-f002
case_images: Radiological examination revealed periapical rarefaction associated with a carious mandibular right second molar [Figure 2].
case_images: (a) The defect in the right submandibular region with necrosed tissue. (b) The marking for raising the temporoparietal fasciocutaneous flap (TPFF) after placing the pre-auricular incision. (c) The TPFF being tunnelled lateral to the zygomatic bone to reach the recipient site. (d and e) The suturing with primary closure of the temporal, preauricular and submandibular region. (f) The primary closure with minimal noticeable scar
case_images: AMS-14-109-g003.jpg
case_images: PMC11340831_01_AMS-14-109-g003.jpg
case_images: ams.ams_227_23-f003
case_images: Following debridement, a defect of around 7 cm x 4 cm was evident in the submandibular region [Figure 3a]. Under local anaesthesia, the flap was outlined and the pre-auricular incision was made to gain access to the temporoparietal fascia (TPF) [Figure 3b]. The flap is tunnelled lateral to the zygomatic bone [Figure 3c]. The donor site was closed primarily in anatomic layers [Figure 3d and e]. During subsequent follow-ups, it was observed that the donor site scar was well masked [Figure 3f].
case_images: (a) The well masked scar in the temporoparietal region within the hairline. (b and c) The good facial symmetry with improved interincisal opening
case_images: AMS-14-109-g004.jpg
case_images: PMC11340831_01_AMS-14-109-g004.jpg
case_images: ams.ams_227_23-f004
case_images: The flap was well settled, adhered to the facial contours and there was reasonable facial symmetry on frontal as well as lateral profiles [Figures 4a-c].