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 x 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.

Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap / Spaggiari, A; Benanti, E; Starnoni, M; Sala, P; Baccarani, A; De Santis, G. - In: INDIAN JOURNAL OF PLASTIC SURGERY. - ISSN 0970-0358. - 52:2(2019), pp. 242-245. [10.1055/s-0039-1693511]

Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap

Benanti, E;Starnoni, M;Sala, P;Baccarani, A;De Santis, G
2019

Abstract

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 x 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.
2019
52
2
242
245
Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap / Spaggiari, A; Benanti, E; Starnoni, M; Sala, P; Baccarani, A; De Santis, G. - In: INDIAN JOURNAL OF PLASTIC SURGERY. - ISSN 0970-0358. - 52:2(2019), pp. 242-245. [10.1055/s-0039-1693511]
Spaggiari, A; Benanti, E; Starnoni, M; Sala, P; Baccarani, A; De Santis, G
File in questo prodotto:
File Dimensione Formato  
spaggiari2019.pdf

Open access

Tipologia: Versione pubblicata dall'editore
Dimensione 1.08 MB
Formato Adobe PDF
1.08 MB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1205041
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 7
  • ???jsp.display-item.citation.isi??? 4
social impact