title: Functional reconstruction of the upper and lower lips and commissure with a forearm flap combined with a free gracilis muscle transfer.
abstract: 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.
authors.affiliation: 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
authors.forename: K
authors.initials: K
authors.lastname: Ueda
authors.forename: S
authors.initials: S
authors.lastname: Oba
authors.forename: K
authors.initials: K
authors.lastname: Nakai
authors.forename: M
authors.initials: M
authors.lastname: Okada
authors.forename: N
authors.initials: N
authors.lastname: Kurokawa
authors.forename: T
authors.initials: T
authors.lastname: Nuri
mesh_terms: 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