Functional reconstruction of the upper and lower lips and commissure with a forearm flap combined with a free gracilis muscle transfer.
After resection of an arterio-venous malformation of the upper and lower lips and commissure we performed reconstruction with a forearm flap combined with a free gracilis muscle transfer. First the motor nerve of the gracilis muscle was anastomsed to a buccal nerve branch in the cheek. In a second operation, the red lip was reconstructed with an oral mucosal graft, and the upper lip skin was reconstructed with a local flap. The patient obtained good oral sphincter function for eating, speaking and air inflation.
Ueda
K
K
Department 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
Nakai
K
K
Okada
M
M
Kurokawa
N
N
Nuri
T
T
D001165:Arteriovenous Malformations / Q000175:diagnosis / Q000601:surgery*; D005542:Forearm / Q000601:surgery*; D006801:Humans; D008046:Lip / Q000601:surgery*; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation*; D013524:Surgical Flaps; D055815:Young Adult