Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm 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 incompreh...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/219728 |
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| author | Eldad Silberstein Yuval Krieger Yaron Shoham Ofer Arnon Amiram Sagi Alexander Bogdanov-Berezovsky |
| author_facet | Eldad Silberstein Yuval Krieger Yaron Shoham Ofer Arnon Amiram Sagi Alexander Bogdanov-Berezovsky |
| author_sort | Eldad Silberstein |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-17440835b4f24bedbfe09dec1201e243 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-17440835b4f24bedbfe09dec1201e2432025-02-03T05:51:37ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/219728219728Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm FlapEldad Silberstein0Yuval Krieger1Yaron Shoham2Ofer Arnon3Amiram Sagi4Alexander Bogdanov-Berezovsky5Department of Plastic Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Beersheba 84101, IsraelDepartment of Plastic Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Beersheba 84101, IsraelDepartment of Plastic Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Beersheba 84101, IsraelDepartment of Plastic Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Beersheba 84101, IsraelDepartment of Plastic Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Beersheba 84101, IsraelDepartment of Plastic Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Beersheba 84101, IsraelIntroduction. 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.http://dx.doi.org/10.1155/2014/219728 |
| spellingShingle | Eldad Silberstein Yuval Krieger Yaron Shoham Ofer Arnon Amiram Sagi Alexander Bogdanov-Berezovsky Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap The Scientific World Journal |
| title | Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap |
| title_full | Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap |
| title_fullStr | Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap |
| title_full_unstemmed | Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap |
| title_short | Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap |
| title_sort | total lip reconstruction with tendinofasciocutaneous radial forearm flap |
| url | http://dx.doi.org/10.1155/2014/219728 |
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