Search

Epulis is a type of proliferative gingival disease, and usually occurs in the lip or buccal gingiva near the papilla canines and premolars. Females are more prone to epulis than male counterparts. The resection of large epulis is often accompanied by keratinized gingival narrowing and the exposure of bone and root surface, etc. In this article, a case of epulis admitted to the department of periodontal mucosa was reported. During surgical resection of epulis, coronally repositioned flap was simultaneously utilized to cover the exposed bone and root surface by combining the basic principle of mucogingival surgery. This technique can prevent the occurrence of postoperative complications to the largest extent, such as infection, bone absorption, root exposure and root dentin hypersensitivity, achieving excellent aesthetic repair of the soft tissues. Regarding the diagnosis and treatment of this case, the coronally repositioned flap has the advantages of simple operation and avoids the second surgical area.

Objective: The failure rate of foot and ankle soft tissue defect reconstruction with flap is relatively high, often posing a significant burden on patients. The aim of this study is to explore the effectiveness of repeated stretch sutures in repairing skin and soft tissue defects of the ankle and foot. Methods: Twenty‐three patients with ankle and foot skin and soft tissue defects were retrospectively analyzed between February 2016 and February 2019. Sutures were repeatedly stretched every 3–5 days. Local skin grafting was performed if necessary after wound surfaces disappeared or exposed tendons and bones were covered by soft tissue. Wound healing time, postoperative healing area, Vancouver Scar Assessment Scale, sensation, and function of the new skin were evaluated. Results: Healing time was 17–35 (24.43 ± 5.29) days. Ten patients wholly healed, and 13 healed by approximately 70.08% ± 6.59%. The Vancouver Scar Assessment Scale average score was 2.83 ± 1.19 points, of which 15 cases were excellent (0–3 points) and 8 cases were good (4–7 points). The sensation and function of the new skin after repair were equivalent to those of normal skin after the last follow‐up. Conclusions: Applying repeated tension sutures on the skin and soft defects of the ankle and foot reduced the skin graft area and decreased complex high‐risk surgical flaps' use and transplantation area. [ABSTRACT FROM AUTHOR]