Total lower lip and chin reconstruction with radial forearm free flap: A novel approach

The management of large chin and lower lip defects is challenging due to this facial subunit's tremendous functional and aesthetic importance. Specific methods for total lower lip and mentum reconstruction are not well chronicled. Aesthetic and functional goals of this reconstruction include re...

Full description

Saved in:
Bibliographic Details
Published in:American journal of otolaryngology 2017-09, Vol.38 (5), p.618-625
Main Authors: Dewey, Eliza H., Roche, Ansley M., Lazarus, Cathy L., Urken, Mark L.
Format: Article
Language:English
Subjects:
Aged
Carcinoma, Squamous Cell - surgery
Chin
Color matching
Defects
Fascia
Forearm
Free Tissue Flaps
Head and Neck Neoplasms - surgery
Humans
Jaw
Lip
Literature reviews
Lymphatic system
Male
Mucosa
Plastic surgery
Radiation therapy
Reconstruction
Reconstructive Surgical Procedures - methods
Restoration
Skin
Veins & arteries
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The management of large chin and lower lip defects is challenging due to this facial subunit's tremendous functional and aesthetic importance. Specific methods for total lower lip and mentum reconstruction are not well chronicled. Aesthetic and functional goals of this reconstruction include restoration of oral competence by maintaining lower lip height, vermilion reestablishment, color-matched skin introduction to the chin, sensation restoration, and ideally restoration of dynamic activity to the lower lip. Literature review performed. Presentation of novel, two-stage technique for lower lip and chin reconstruction with a submental flap and a radial forearm free flap, suspension of the lower lip and chin with a tensor fascia lata graft, and vermilion reconstruction with a buccal mucosal flap. This procedure meets all goals of total lower lip reconstruction with the exception of the introduction of dynamic tissue and represents a novel solution to a challenging reconstructive problem.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2017.07.004