Clinical Presentation
The study included five male patients aged between 15 and 67 years, highlighting the variability in patient demographics requiring such reconstructive procedures [PMID:19325337].
Management
Five patients underwent reconstruction using free radial forearm flaps, including composite flaps with palmaris longus tendon and brachioradialis muscle components, achieving adequate mouth opening and oral competence [PMID:19325337].
The refinement of attaching a dynamic palmaris sling to the perioral muscle significantly improved oral competence and support in patients undergoing lip reconstruction [PMID:19325337].
Agrawal K, Panda KN describe a reliable method using an extended midline forehead flap, modified to include hair-bearing scalp, for reconstructing upper lip and moustache defects [PMID:11207129].
The extended midline forehead flap technique minimizes donor site deformity, making it suitable for complex facial reconstructions like those seen in cancrum oris [PMID:11207129].
Complications
The procedure, while effective, is noted to cause prolonged morbidity due to being a multistage process [PMID:11207129].
References
1 Daya M, Nair V. Free radial forearm flap lip reconstruction: a clinical series and case reports of technical refinements. Annals of plastic surgery 2009. link 2 Agrawal K, Panda KN. Moustache reconstruction using an extended midline forehead flap. British journal of plastic surgery 2001. link
2 papers cited of 3 indexed.