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Lower lip reconstruction with a radial forearm–palmaris longus free flap and additional “cattle gate” bar of palmaris longus tendon |
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| Authors: | R. I. S. Winterton I. M. Smith I. T. H. Foo |
| Affiliation: | (1) Department of Plastic and Reconstructive Surgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK;(2) Department of Plastic and Reconstructive Surgery, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK |
| Abstract: | We report a patient in whom we reconstructed a full thickness 95% lower lip defect after excision of a large squamous cell carcinoma. A composite free radial forearm–palmaris longus flap was used with an additional length of palmaris longus tendon to add support to the inferior part of the flap. We believe that this extra bar of palmaris longus graft can add important structure to an otherwise unsupported part of the reconstruction. |
| Keywords: | Lower lip reconstruction Radial forearm free flap Dynamic reconstruction |
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