Reconstruction of total lower lip and chin defects using the composite radial forearm--palmaris longus tendon free flap.
BACKGROUND
Functional and aesthetic restoration of total lip and chin defects can be achieved using the composite radial forearm-palmaris longus tendon free flap.


OBJECTIVE
To present the technique we use and our experience with this form of reconstruction in 10 consecutive patients with total lip and chin defects who were surgically treated between 1992 and 1998.


METHODS
The palmaris longus tendon acting as a sling over which the flap is draped is responsible for long-term maintenance of vertical lip height and lip support. The factors responsible for this are the long-term maintenance of vertical lip height and lip support and the transfer of facial muscle activity to the neolip.


RESULTS
All patients were satisfied with their final reconstructive result. Oral competence for deglutition and speech was achieved in all patients in our case series, with no incidence of drooling.


CONCLUSIONS
We recommend the use of the composite radial forearm-palmaris longus tendon free flap for this type of reconstructive surgery. Arch Facial Plast Surg. 2000;2:53-56
Head and Neck Program, Department of Otolaryngology, The Toronto General Hospital, Ontario, Canada.
C M
CM
Carroll
I
I
Pathak
J
J
Irish
P C
PC
Neligan
P J
PJ
Gullane
D000368:Aged; D000369:Aged, 80 and over; D002680:Chin / Q000601:surgery*; D006801:Humans; D008046:Lip / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013710:Tendons / Q000601:surgery