Abstract:
:Two patients with massive, composite defects of the total lower lip, chin, and anterior mandible underwent double free-flap reconstruction. A fibular osteoseptocutaneous flap was used to reconstruct the mandible and floor of the mouth and a radial forearm fasciocutaneous composite flap, including the palmaris longus tendon, was used for total lower lip and chin reconstruction. Postoperatively, both patients had acceptable cosmesis, were orally competent, and recovered adequate mandibular function. Double free-flap reconstruction is indicated only in those circumstances in which composite tissue requirements or massive tissue defects preclude reconstruction with a single free-tissue transfer.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Kuzon WM Jr,Jejurikar S,Wilkins EG,Swartz WMdoi
10.1002/(sici)1098-2752(1998)18:6<372::aid-micr6>3subject
Has Abstractpub_date
1998-01-01 00:00:00pages
372-8issue
6eissn
0738-1085issn
1098-2752pii
10.1002/(SICI)1098-2752(1998)18:6<372::AID-MICR6>3journal_volume
18pub_type
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