title: Double free-flap reconstruction of massive defects involving the lip, chin, and mandible.
abstract: Two patients with massive, composite defects of the total lower lip, chin, and anterior mandible underwent double free-flap reconstruction. A fibular osteoseptocutaneous flap was used to reconstruct the mandible and floor of the mouth and a radial forearm fasciocutaneous composite flap, including the palmaris longus tendon, was used for total lower lip and chin reconstruction. Postoperatively, both patients had acceptable cosmesis, were orally competent, and recovered adequate mandibular function. Double free-flap reconstruction is indicated only in those circumstances in which composite tissue requirements or massive tissue defects preclude reconstruction with a single free-tissue transfer.
authors.affiliation: Department of Surgery, University of Michigan, Ann Arbor, USA. wkuzon@umich.edu
authors.forename: W M
authors.initials: WM
authors.lastname: Kuzon
authors.forename: S
authors.initials: S
authors.lastname: Jejurikar
authors.forename: E G
authors.initials: EG
authors.lastname: Wilkins
authors.forename: W M
authors.initials: WM
authors.lastname: Swartz
mesh_terms: D000293:Adolescent; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000601:surgery; D002680:Chin / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery; D005260:Female; D006801:Humans; D008046:Lip / Q000601:surgery*; D008048:Lip Neoplasms / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery*; D008338:Mandibular Injuries / Q000601:surgery; D008339:Mandibular Neoplasms / Q000175:diagnosis / Q000601:surgery; D008875:Middle Aged; D009060:Mouth Floor; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014948:Wounds, Gunshot / Q000601:surgery