Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap
Lower lip is an important anatomical unit in daily life activities, and its proper functional and aesthetic reconstruction is crucial. In the literature, both locoregional and microsurgical flaps have been described in lower lip reconstruction. Few authors have reported lower lip reconstruction with...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-05-01
|
| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1693511 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850171015705919488 |
|---|---|
| author | Antonio Spaggiari Elisa Benanti Marta Starnoni Pietro Sala Alessio Baccarani Giorgio De Santis |
| author_facet | Antonio Spaggiari Elisa Benanti Marta Starnoni Pietro Sala Alessio Baccarani Giorgio De Santis |
| author_sort | Antonio Spaggiari |
| collection | DOAJ |
| description | Lower lip is an important anatomical unit in daily life activities, and its proper functional and aesthetic reconstruction is crucial. In the literature, both locoregional and microsurgical flaps have been described in lower lip reconstruction. Few authors have reported lower lip reconstruction with gracilis free flap. We describe a case of wide lower lip and chin avulsion caused by human bite reconstructed with an innervated gracilis free flap raised with its overlying skin paddle. The gracilis flap was harvested with a skin paddle of 7 × 5 cm, and vascular and nervous anastomoses were performed. At 9-month follow-up, an electromyography showed high muscle activities observed in the central part of the flap, and the patient achieved good oral functions reported with daily life activities. Raising the flap with the overlying skin paddle allowed us to avoid morbidity in other donor sites, avoid scar retraction of the skin graft on the gracilis that could limit its movement, and plan aesthetical refinements such as hair transplantation or tattoo of the beard on the skin. |
| format | Article |
| id | doaj-art-ac6bb767804b471c9a19dcbad2fe0b06 |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2019-05-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-ac6bb767804b471c9a19dcbad2fe0b062025-08-20T02:20:22ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2019-05-01520224224510.1055/s-0039-1693511Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis FlapAntonio Spaggiari0Elisa Benanti1Marta Starnoni2Pietro Sala3Alessio Baccarani4Giorgio De Santis5Department of Plastic Surgery, Azienda Ospedaliero-Universitaria di Modena, Modena, ItalyDepartment of Plastic Surgery, Azienda Ospedaliero-Universitaria di Modena, Modena, ItalyDepartment of Plastic Surgery, Azienda Ospedaliero-Universitaria di Modena, Modena, ItalyDepartment of Plastic Surgery, Azienda Ospedaliero-Universitaria di Modena, Modena, ItalyDepartment of Plastic Surgery, Azienda Ospedaliero-Universitaria di Modena, Modena, ItalyDepartment of Plastic Surgery, Azienda Ospedaliero-Universitaria di Modena, Modena, ItalyLower lip is an important anatomical unit in daily life activities, and its proper functional and aesthetic reconstruction is crucial. In the literature, both locoregional and microsurgical flaps have been described in lower lip reconstruction. Few authors have reported lower lip reconstruction with gracilis free flap. We describe a case of wide lower lip and chin avulsion caused by human bite reconstructed with an innervated gracilis free flap raised with its overlying skin paddle. The gracilis flap was harvested with a skin paddle of 7 × 5 cm, and vascular and nervous anastomoses were performed. At 9-month follow-up, an electromyography showed high muscle activities observed in the central part of the flap, and the patient achieved good oral functions reported with daily life activities. Raising the flap with the overlying skin paddle allowed us to avoid morbidity in other donor sites, avoid scar retraction of the skin graft on the gracilis that could limit its movement, and plan aesthetical refinements such as hair transplantation or tattoo of the beard on the skin.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1693511gracilis myocutaneous free flaphuman bitelip replantationlower lip reconstruction |
| spellingShingle | Antonio Spaggiari Elisa Benanti Marta Starnoni Pietro Sala Alessio Baccarani Giorgio De Santis Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap Indian Journal of Plastic Surgery gracilis myocutaneous free flap human bite lip replantation lower lip reconstruction |
| title | Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap |
| title_full | Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap |
| title_fullStr | Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap |
| title_full_unstemmed | Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap |
| title_short | Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap |
| title_sort | lower lip and chin reconstruction with functional myocutaneous gracilis flap |
| topic | gracilis myocutaneous free flap human bite lip replantation lower lip reconstruction |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1693511 |
| work_keys_str_mv | AT antoniospaggiari lowerlipandchinreconstructionwithfunctionalmyocutaneousgracilisflap AT elisabenanti lowerlipandchinreconstructionwithfunctionalmyocutaneousgracilisflap AT martastarnoni lowerlipandchinreconstructionwithfunctionalmyocutaneousgracilisflap AT pietrosala lowerlipandchinreconstructionwithfunctionalmyocutaneousgracilisflap AT alessiobaccarani lowerlipandchinreconstructionwithfunctionalmyocutaneousgracilisflap AT giorgiodesantis lowerlipandchinreconstructionwithfunctionalmyocutaneousgracilisflap |