@article{oai:tsukuba.repo.nii.ac.jp:00027534,
 author = {佐々木, 薫 and 足立, 孝二 and 関堂, 充 and Sasaki, Kaoru and Adachi, Koji and Sekido, Mitsuru},
 issue = {7},
 journal = {Journal of plastic, reconstructive & aesthetic surgery},
 month = {Jul},
 note = {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.},
 pages = {e193--e196},
 title = {Transversefascialsuspension with musclebow traction: Advantages for full-thicknesslipreconstructioninvolving the oralcommissure using freeflap},
 volume = {65},
 year = {2012}
}