Functional lower lip reconstruction with a forearm flap combined with a free gracilis muscle transfer.
We applied a forearm flap combined with a gracilis muscle flap for total reconstruction of the lower lip. The motor nerve of the gracilis muscle was repaired to the buccal branch in the cheek. The patient obtained good sphincter function for eating and speaking, and he could inflate a balloon without air leakage.
Ueda
K
K
Departments of Plastic and Reconstructive Surgery, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki city, Osaka 569-8686, Japan. pla007@poh.osaka-med.ac.jp
Oba
S
S
Ohtani
K
K
Amano
N
N
Fumiyama
Y
Y
D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D005542:Forearm / Q000601:surgery*; D006391:Hemangioma / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008046:Lip / Q000503:physiopathology / Q000601:surgery*; D008048:Lip Neoplasms / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000503:physiopathology / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps