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

Publication date: Available online 8 July 2017
Source:American Journal of Otolaryngology
Author(s): Eliza H. Dewey, Ansley M. Roche, Cathy L. Lazarus, Mark L. Urken
BackgroundThe management of large chin and lower lip defects is challenging due to this facial subunit's tremendous functional and aesthetic importance. Specific methods for total lower lip and mentum reconstruction are not well chronicled. Aesthetic and functional goals of this reconstruction include restoration of oral competence by maintaining lower lip height, vermilion reestablishment, color-matched skin introduction to the chin, sensation restoration, and ideally restoration of dynamic activity to the lower lip.MethodsLiterature review performed.ResultsPresentation of novel, two-stage technique for lower lip and chin reconstruction with a submental flap and a radial forearm free flap, suspension of the lower lip and chin with a tensor fascia lata graft, and vermilion reconstruction with a buccal mucosal flap.ConclusionsThis procedure meets all goals of total lower lip reconstruction with the exception of the introduction of dynamic tissue and represents a novel solution to a challenging reconstructive problem.



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