Total lower lip and chin reconstruction with radial forearm free flap: A novel approach

Novel technique to prevent or correct open‐mouth deformity after bilateral mandibular resection: Use of tensor fascia lata slings

“…Similarly, Arem presented a technique for use of a TFL sling to suspend the lip 2 . In a review of chin‐lower lip reconstruction, Dewey et al referenced multiple techniques that utilize tensor fascia lata strips to suspend the lower lip with points of attachment including the periosteum of the zygomatic body, temporalis muscle, masseter muscle, and angle of mouth 2–7 . These techniques, however, are referenced in relation to suspension of the lower lip, not the mandible.…”

“…2 In a review of chin-lower lip reconstruction, Dewey et al referenced multiple techniques that utilize tensor fascia lata strips to suspend the lower lip with points of attachment including the periosteum of the zygomatic body, temporalis muscle, masseter muscle, and angle of mouth. [2][3][4][5][6][7] These techniques, however, are referenced in relation to suspension of the lower lip, not the mandible. Tutela et al addressed oral incompetence in a patient who underwent composite mandibulectomy and fibula free flap reconstruction using GoreTex (Gore, Flagstaff, AZ) sutures to suspend the lower lip.…”

Repair of a Total Defect in the Upper Lateral and Medial Lip

“…Other complex choices included pedicle flaps or free microvascular tissue flaps to restore the lining of the lip. 4 It is a significant aesthetic challenge to repair large upper lip defects.…”

Comparaison between Radial Forearm Free Flap (RFFF) and Anterolateral Thigh (ALT) Flap in Head and Neck Reconstruction

“…The flap has the advantage of the long pedicle which makes it accessible for insetting in different regions. In addition, the thin flap, and availability to be folded makes it suitable for both coverage and lining to reconstruct both the outer surface and the mucosa of the oral and nasal cavities, in addition, the radial artery is not likely affected by atherosclerosis [5,[10][11][12][13][14]]. Yet, the flap has some disadvantages which include: A relatively small size and bulk, which makes it unsuitable for larger defects or defects requiring bulk, donor site scarring Anterolateral thigh flap (ALT) is a relatively recent workhorse for reconstruction that is used for tissue coverage and replacement in variable body parts.…”