Total Lower Lip Reconstruction with a Sensate Composite Radial Forearm-Palmaris Longus Free Flap and a Tongue Flap

Introduction.Squamous cell carcinoma is a common tumour of lower lip. Small defects created by surgical resection may be readily reconstructed by linear closure or with local flaps. However, large tumours resection often results with microstomia and oral incompetence, drooling, and speech incomprehension. 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.Patients and Methods.This procedure was used in 5 patients with 80–100% lip defect resulting from Squamous cell carcinoma. Patients’ age ranged from 46 to 82 years. They are three male patients and two female. In 3 cases chin skin was reconstructed as well and in one case a 5 cm segment of mandible was reconstructed using radius bone. In one case where palmaris longus was missing hemi-flexor carpi radialis tendon was used instead. All patients tolerated the procedure well.Results.All flaps totally survived. No patient suffered from drooling. All patients regained normal diet and normal speech. Cosmetic result was fair to good in all patients accept one.Conclusion.We conclude that tendino-fasciocutaneous radial forearm flap for total lower lip reconstruction is safe. Functional and aesthetic result approaches reconstructive goals.

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Total Lower Lip Reconstruction with Innervated Radial Forearm Flap and Palmaris Longus Tendon

Clinical Scenarios in Reconstructive Microsurgery ◽

10.1007/978-3-319-94191-2_15-1 ◽

2020 ◽

pp. 1-10

Author(s):

Riccardo Schweizer ◽

Andrés Rodriguez-Lorenzo

Keyword(s):

Radial Forearm Flap ◽

Lower Lip ◽

Lip Reconstruction ◽

Longus Tendon ◽

Forearm Flap ◽

Palmaris Longus ◽

Radial Forearm ◽

Palmaris Longus Tendon

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Dorsalis Pedis Free Flap: The Salvage Option following Failure of the Radial Forearm Flap in Total Lower Lip Reconstruction

Case Reports in Medicine ◽

10.1155/2014/458286 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Theodoros Stathas ◽

Georgios Tsinias ◽

Dimitra Tsiliboti ◽

Aris Tsiros ◽

Nicholas Mastronikolis ◽

...

Keyword(s):

Free Flap ◽

Free Flaps ◽

Radial Forearm Flap ◽

Lower Lip ◽

Lip Reconstruction ◽

Forearm Flap ◽

Radial Forearm ◽

Lip Carcinoma ◽

The Aesthetic ◽

Lip Defect

Reconstruction after resection of large tumors of the lower lip requires the use of free flaps in order to restore the shape and the function of the lip, with the free radial forearm flap being the most popular. In this study we describe our experience in using the dorsalis pedis free flap as a salvage option in reconstruction of total lower lip defect in a patient with an extended lower lip carcinoma after failure of the radial forearm free flap, that was initially used. The flap was integrated excellently and on the followup the patient was free of disease and fully satisfied with the aesthetic and functional result.

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