Reconstruction with a forearm flap combined with lifting of the lip and labial angle with the fascia from the thigh

DOI 12 References
  • Matsuzaki Zensei
    Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Yamanashi
  • Matsuoka Tomokazu
    Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Yamanashi
  • Masuyama Keisuke
    Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Yamanashi

Bibliographic Information

Other Title
  • 大腿筋膜による口唇・口角吊り上げ併用前腕皮弁を用いて再建した頬粘膜原発口腔癌症例

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Abstract

Favorable function and morphology were achieved by treating a defect created by wide-range lower lip excision by reconstructing the lip with a forearm flap and lifting the lip and labial angle with fascia from the thigh. A 30×20 mm tumor was observed in the right lower labial mucosa of a 78-year-old woman, and biopsy confirmed squamous cell carcinoma. A safety margin of 20 mm was maintained during excision of the facial skin from the labial angle to the lower lip, the tumor and the adjacent mandible, buccal mucosa, oral cavity floor and lower gingiva. The resulting defect was treated by using a free forearm flap to cover the oral cavity and the face, and fascia from the thigh to lift the lip and labial angle. Postoperatively, the patient had no difficulty opening or completely closing her mouth, and an esthetically favorable outcome was achieved. This technique can be used to treat relatively broad defects, and it is one option for labial angle and lower lip reconstruction.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 20 (3), 355-361, 2008

    Japan Society of Stomato-pharyngology

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