2024-03-29T15:15:33Z
https://tsukuba.repo.nii.ac.jp/oai
oai:tsukuba.repo.nii.ac.jp:00027534
2022-04-27T08:54:14Z
2780:1969
2780:1993
2780:1997
3:62:5592:1852
Transversefascialsuspension with musclebow traction: Advantages for full-thicknesslipreconstructioninvolving the oralcommissure using freeflap
佐々木, 薫
足立, 孝二
関堂, 充
Sasaki, Kaoru
Adachi, Koji
Sekido, Mitsuru
Large full-thicknessoral defects involving the oralcommissure continue to be a challenge for reconstructive surgeons.
Although local flaps are the best option for full-thicknesslipreconstruction, they are unavailable for large defects. In particular, recent advances in microsurgery have extended the available surgical options using freeflaps, but for full-thickness large oral defects involving the oralcommissure, it is still difficult to obtain good function and competence. The major disadvantages are the drooping and loosening of the reconstructed lip and the difficulty in restoring a natural oralcommissure.
We present two cases of lipreconstruction for full-thickness large defects involving the oralcommissure in which freeflaps with the musclebow traction method were used to overcome these problems.
In case 1, the lip was reconstructed with a free radial forearm-palmaris longus tendon composite flap. The tendon was sutured onto the orbicularis oris stumps. In case 2, the lip was reconstructed with a free anterolateral thigh flap including the fascia lata. A fascial strip in the flap was sutured to the residual orbicularis muscles. In each case, additional nonvascularised fascia lata was harvested and suspended the reconstructed lip in transverse direction as a musclebow traction method. Both patients achieved good oral competence without medial deviation of the oralcommissure and were able to resume a regular diet without drooping and loosening of the reconstructed lip.
For large full-thicknessoral defects involving the oralcommissure, transversefascialsuspension with musclebow traction is useful for functional and cosmetic reconstruction.
journal article
Elsevier
2012-07
application/pdf
Journal of plastic, reconstructive & aesthetic surgery
7
65
e193
e196
http://hdl.handle.net/2241/117432
1748-6815
AA12096250
https://tsukuba.repo.nii.ac.jp/record/27534/files/JPRAS_65-7.pdf
eng
22336187
10.1016/j.bjps.2012.01.008
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons.
NOTICE: this is the author's version of a work that was accepted for publication in Journal of Plastic, Reconstructive & Aesthetic Surgery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Plastic, Reconstructive & Aesthetic Surgery, Vol.65 Issue 7, Pages:e193–e196. doi:10.1016/j.bjps.2012.01.008.