Encycl Méd Chir (editions Scientifiques el Médicales Total lower lip reconstruction with a composite radial forearm-palmaris longus tendon flap: a clinical series. Local flap reconstruction of acquired lip defects. • Facial vessels are left intact. In this study, we present a case of a successful total lower lip repair with this flap.In a 78-year-old female patient who was diagnosed with squamous cell carcinoma involving the entire lower lip, bilateral modified radical neck dissection and full-thickness total resection with 1 cm surgical margin so as to include both commissures of the tumor were performed and then a free gracilis muscle flap was transferred from … Arch Facial Plast Surg. The authors reviewed their experience at the Division of Oral and Maxillofacial Surgery, University of Florida College of Medicine, Jacksonville in reconstructing these challenging defects over a 3 year period. This is more so when the resection is total and a complete lip has to be constructed. 2013 Dec;51(8):767-72. doi: 10.1016/j.bjoms.2013.07.006. Background: Despite improvements in dental care, millions of Americans suffer tooth loss -- mostly due to tooth decay, periodontal disease, or injury. 1991;88:209-214. Rev Laryngol Otol Rhinol (Bord). There were no flap failures. Of the 13 flaps used to reconstruct the defects, 11 were radial forearm flaps using the palmaris longus tendon and 1 was an anterolateral thigh flap using the fascia to resuspend the lip. The Scientific World Journal. Keywords: The aim of this article is to discuss the selection of techniques and report our experience of total or near-total lower lip reconstruction. For many … eCollection 2017 Oct. Yu's flap for lower lip and reverse Yu's flap for upper lip reconstruction: 20 years experience. Yildirim S, Gideroglu K, Aydogdu E, Avci G, Akan M, Akoz T. Composite anterolateral thigh-fascia lata flap: a good alternative to radial forearm-palmaris longus flap for total lower lip reconstruction. Case presentation A 40-year-old Somali man presented to our hospital with a large midfacial defect, inability to open his mouth, oral incompetence and incoherent speech. Goals of the reconstruction procedure are to restore patients oral competence, speech, and diet as well as to permit oral hygiene and as normal as possible appearance [6–8]. The goal of this study is to describe our experience with composite free radial forearm-palmaris longus tendon flap for total or near total lower lip reconstruction. Results: Ten cases of total lower lip reconstruction are reviewed. This relatively small structure is essential in 2 of the most important human functions: eating and speaking. The defects were due to resection of malignancies affecting the lip in 10 patients and to avulsive gunshot injuries in 2 patients. 2. Patients and Methods. RECONSTRUCTION OF LOWER LIP DEFECTS: TWO THIRDS TO COMPLETE Lesions involving from two thirds to the entire lip are best reconstructed by usingadjacent cheek tissue. The sensate radial forearm–palmaris longus free flap was used for total lower lip reconstruction in 17 patients with lower lip carcinoma with a mean age of 51 years. Squamous cell carcinoma is a common tumour of lower lip. The lips are necessary for speech, facial expression, and eating. The lips are 1 of the most defining features in the face and play a key role in appearance and self-esteem. Patients' age ranged from 46 to 82 years. Material and methods: National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error.
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