title: One-stage through-and-through cheek, lips, and oral commissure reconstruction using a double-paddle peroneal chimeric flap: An innovative method.
abstract: BACKGROUND
  Through-and-through cheek defects involving both lips and the oral commissure may result from cancer ablation. Reconstructive procedures for repairing the defect usually lead to oral incontinence, drooling, and difficulties with speech and oral access, and require further revision in a second-stage operation.
  
  
  METHODS
  An innovative, free double-paddle peroneal chimeric flap is used to achieve one-stage reconstruction for through-and-through cheek defects involving both lips and the oral commissure.
  
  
  RESULTS
  From January 1996 to December 2012, a total of 55 patients underwent reconstructions of through-and-through cheek defects involving both lips and the oral commissure with free double-paddle peroneal chimeric flaps after their oral cancer resection. Both the functional and esthetic results were excellent in most of the patients.
  
  
  CONCLUSIONS
  Free double-paddle peroneal chimeric flap with this novel flap design and inset method can produce functionally and aesthetically pleasing lips, vermilion borders, and oral commissure in one-stage reconstruction after oral cancer ablation.
authors.affiliation: Division of Plastic Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; College of Medicine, National Yang-Ming University, Taipei, Taiwan.
authors.forename: Wen-Chung
authors.initials: WC
authors.lastname: Liu
authors.forename: Kuo-Chung
authors.initials: KC
authors.lastname: Yang
mesh_terms: D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D002610:Cheek / Q000601:surgery; D015331:Cohort Studies; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D008046:Lip / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009055:Mouth / Q000601:surgery; D009062:Mouth Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D061525:Perforator Flap / Q000098:blood supply* / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
keywords: chimeric flap; commissuroplasty; double-paddle peroneal chimeric flap; lips and oral commissure; through-and-through defect