One-stage reconstruction of a defect of the oral commissure and of the cheek with a radial forearm free flap.
Several reconstructive methods have been proposed for complex clinical cases. These methods are based on composite graft tissue flaps which allow to obtain modest aesthetic-functional results. Only recently, revascularized flaps (fasciocutaneous free flap of radial) have been used. In this work, the authors present a clinical report of cheek mucosal carcinoma extended to the omolateral lip commissure, which has required the full thickness removal of the cheek, the lip commissure, and part of both lips; the use of a bileft free fasciocutaneous flap of radial (to reconstruct with a single flap both the cutaneous and mucosal deficits) has allowed for adequate reconstruction with good aesthetic and functional results.
Valentini
Valentino
V
From the Maxillofacial Surgery Department, University of Rome, La Sapienza, Rome, Italy.
Saltarel
Andrea
A
Cassoni
Andrea
A
Battisti
Andrea
A
Egidi
Sara
S
D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002610:Cheek / Q000601:surgery*; D004954:Esthetics; D005205:Fascia / Q000637:transplantation*; D005542:Forearm; D006801:Humans; D008046:Lip / Q000503:physiopathology / Q000601:surgery*; D008048:Lip Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000601:surgery; D009062:Mouth Neoplasms / Q000601:surgery*; D009361:Neoplasm Invasiveness; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps