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EnglishBackground. Large full-thickness defects of the lower lip need free tissue transfer. The free forearm flap is the more widespread technique for free flap lower lip reconstruction, but it results in a static lip. The authors describe a technique of morphodynamic sensate reconstruction of the lower lip with a free gracilis flap and a musculomucosal flap. Methods. Three patients underwent reconstruction with an innervated free muscular gracilis flap, an innervated musculomucosal flap for the vermillion (2 cases), and a full-thickness skin graft. Results. No significant complications were observed. Static function and vermillion sensitivity were immediately restored. The skin color match was excellent. After 9 months, contraction of the transferred muscle was evident. Conclusion. The lip is a dynamic unit. The innervated gracilis muscle seems ideal for lip reconstruction in that it correctly replaces all the lip layers and compensates for the lost function much better than a static technique
Cordova, A., D'Arpa, S., & Moschella, F. (2008). Gracilis free muscle transfer for morpho-functional reconstruction of the lower lip. HEAD & NECK, 30(5), 684-689.
| Data di pubblicazione: | 2008 |
| Titolo: | Gracilis free muscle transfer for morpho-functional reconstruction of the lower lip |
| Autori: | |
| Citazione: | Cordova, A., D'Arpa, S., & Moschella, F. (2008). Gracilis free muscle transfer for morpho-functional reconstruction of the lower lip. HEAD & NECK, 30(5), 684-689. |
| Rivista: | |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1002/hed.20723 |
| Abstract: | Background. Large full-thickness defects of the lower lip need free tissue transfer. The free forearm flap is the more widespread technique for free flap lower lip reconstruction, but it results in a static lip. The authors describe a technique of morphodynamic sensate reconstruction of the lower lip with a free gracilis flap and a musculomucosal flap. Methods. Three patients underwent reconstruction with an innervated free muscular gracilis flap, an innervated musculomucosal flap for the vermillion (2 cases), and a full-thickness skin graft. Results. No significant complications were observed. Static function and vermillion sensitivity were immediately restored. The skin color match was excellent. After 9 months, contraction of the transferred muscle was evident. Conclusion. The lip is a dynamic unit. The innervated gracilis muscle seems ideal for lip reconstruction in that it correctly replaces all the lip layers and compensates for the lost function much better than a static technique |
| Appare nelle tipologie: | 1.01 Articolo in rivista |
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