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

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 [10.1002/hed.20723].

Gracilis free muscle transfer for morpho-functional reconstruction of the lower lip

CORDOVA, Adriana;D'ARPA, Salvatore;MOSCHELLA, Francesco
2008-01-01

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
2008
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 [10.1002/hed.20723].
File in questo prodotto:
File Dimensione Formato  
Cordova_et_al-2008-Head_&_Neck.pdf

Solo gestori archvio

Dimensione 291.38 kB
Formato Adobe PDF
291.38 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/47894
Citazioni
  • ???jsp.display-item.citation.pmc??? 4
  • Scopus 21
  • ???jsp.display-item.citation.isi??? 17
social impact