Lower face reconstruction using a neurosensory osteocutaneous radial forearm flap and Webster modification lip repair.
An innervated bipaddled osteocutaneous radial forearm free flap was combined with a Webster modification lip repair to successfully reconstruct in one stage the lower face following a devastating shotgun injury with loss of the anterior mandible, floor of the mouth, full-thickness chin, and subtotal lower lip. In addition to a pleasing aesthetic appearance with restoration of facial contour, the patient had a sensate flap with intelligible speech and no problems with drooling or mastication. This approach to a most complex reconstructive problem is technically feasible with a satisfactory aesthetic and functional outcome.
Weinzweig
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Division of Plastic Surgery, University of Illinois at Chicago.
Chen
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L
D000328:Adult; D005151:Facial Injuries / Q000209:etiology / Q000601:surgery*; D005260:Female; D005542:Forearm; D006801:Humans; D008046:Lip / Q000601:surgery*; D008338:Mandibular Injuries / Q000209:etiology / Q000601:surgery*; D017695:Soft Tissue Injuries / Q000209:etiology / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*; D014948:Wounds, Gunshot / Q000601:surgery*