title: Reconstruction of total lower lip defects using radial forearm free flap with subsequent tongue flap.
abstract: Subtotal and total reconstruction of the lower lip is a challenge for the plastic surgeon. Large defects extending to the chin area can be difficult to manage with only local flaps, and free flaps are better suited. In an attempt to restore the lower lip with the vermilion, the authors used the radial forearm free flap with anteriorly based ventral tongue flap in 5 patients. The tongue flap is used 3 months after the free flap procedure, and this flap is divided 3 weeks later. The tongue flap transfer, adaptation, and division are done under local anesthesia. In all patients, the aesthetic result was excellent compared with the complexity of the reconstructed defect. Patient compliance was uneventful. Although it is a 3-stage reconstruction, combination of radial forearm flap with the tongue flap offers functional and fine aesthetic results.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Selcuk University Meram Medical School, Konya, Turkey. drmkeskin@hotmail.com
authors.forename: Mustafa
authors.initials: M
authors.lastname: Keskin
authors.forename: Mustafa
authors.initials: M
authors.lastname: Sutcu
authors.forename: Zekeriya
authors.initials: Z
authors.lastname: Tosun
authors.forename: Nedim
authors.initials: N
authors.lastname: Savaci
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004954:Esthetics; D005500:Follow-Up Studies; D005542:Forearm / Q000601:surgery; D006085:Graft Survival; D006801:Humans; D008046:Lip / Q000601:surgery*; D008048:Lip Neoplasms / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D010349:Patient Compliance; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000473:pathology; D013710:Tendons / Q000637:transplantation; D020858:Tissue and Organ Harvesting / Q000379:methods; D014059:Tongue / Q000637:transplantation*