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Total Lower Lip Reconstruction Using Sensate Composite Radial Forearm Flap

Özdemir, Ragip MD*; Ortak, Turgut MD; Koçer, Uğur MD*; Çelebioğlu, Selim MD; Şensöz, Ömer MD; Tiftikcioglu, Yigit Ozer MD*

Journal of Craniofacial Surgery: May 2003 - Volume 14 - Issue 3 - p 393-405
Clinical Notes
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In modern plastic and reconstructive surgery, shape and function must be considered together. These are the most important goals of any operation. There are a lot of techniques that have been reported for total lower lip reconstruction. It is believed that the radial forearm flap is the most suitable technique for lower lip and chin reconstruction after tumor excision so as to achieve better shape and functional results. 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. Two of the patients were female, and 15 were male. All the patients had squamous cell carcinoma. The patients were followed up for 1 to 3 years. Complications of these operations were partial superficial flap loss in 1 patient, partial graft loss in the donor areas of two flaps, and infection in only 1 patient. Wound dehiscence, fistula formation, suture abscesses, or sialocele was not seen in any patient. In this study, the aim was to demonstrate that the sensate radial forearm flap could produce acceptable esthetic results, good sphincteric function, and sensation in the early period after surgery.

Ankara, Turkey

From the *Ankara Training and Research Hospital, Ankara Numune Training and Research Hospital, and Ankara Ministry of Social Security Research and Training Hospital, Plastic and Reconstructive Surgery Clinic, Ankara, Turkey.

Address correspondence to Dr Özdemir, Alidede Sokak, Number 6/28, Asagiayranci, 06540 Ankara, Turkey; e-mail: ragipoya@hotmail.com

© 2003 Mutaz B. Habal, MD