[Reconstruction of the floor of the nasal cavity, hemipalate, bucal cheek and lower lip].
We describe the surgical technique used to reconstruct a defect created by resection of a tumor of the palate, malar mucosa, lower lip and adjacent gingival mucosa. We used a microvascular radial forearm flap. A strip across the flap is de-epithelialized and the flap is folded in half at that point. The sides are used for the oral and nasal linings, respectively. The thinness of this flap, its vascularization and the length of its pedicle make this design possible. Four months after the surgery the patient was free of disease and had achieved adequate phonation and swallowing.
Zapater
E
E
Servicio de ORL, Instituto Valenciano de Oncología, Valencia, España. ezapater@ctv.es
Simón
E
E
Ferrandis
E
E
Vendrell
B
B
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery; D002610:Cheek / Q000601:surgery*; D005260:Female; D005542:Forearm / Q000601:surgery; D006801:Humans; D008046:Lip / Q000601:surgery*; D008875:Middle Aged; D009061:Mouth Mucosa / Q000601:surgery; D009062:Mouth Neoplasms / Q000532:radiotherapy / Q000601:surgery; D009296:Nasal Cavity / Q000601:surgery*; D010159:Palate / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000532:radiotherapy / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation