Functional reconstruction of large lower lip defects with adjustable suture assisted palmaris longus tendon in free flaps

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dc.authorscopusid12797736900
dc.authorscopusid6603804315
dc.authorscopusid57090528600
dc.authorscopusid37067183400
dc.authorscopusid36157944400
dc.contributor.authorFirat C.
dc.contributor.authorAytekin A.H.
dc.contributor.authorElmas Ö.
dc.contributor.authorErbatur S.
dc.contributor.authorGeyik Y.
dc.date.accessioned2024-08-04T20:02:17Z
dc.date.available2024-08-04T20:02:17Z
dc.date.issued2013
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose: In this study, our objective is to present the modified method which ensures the reconstruction of the wide defects of the lower lip via the adjustable palmaris longus tendon of the radial forearm flap. Methods: 65 year old male patient applied with complaints of a 5x4 cm well differentiated squamous cell carcinoma on the lower lip region. One cm safety border was kept and the lesion was excised. The free radial forearm flap was transferred to the defect and anastomosed to right facial artery and vein. The 20 cm palmaris longus tendon was passed through the flap close to the localization planned as the upper border of the lower lip and tendon stretched to both malar regions and extended to temporal region with 2/0 propilen suture. Results: Tips of the suture were left on the subcutaneous level for further adjustment if necessary. Palmaris longus tendon prevents lower lip prolapse. Follow-up period was 6 months. A lymphedema was developed at early period (first 3 months) that was regressed until 6 months progressively. The oral competence was acceptable with speech and feeding functions. Conclusion: This method is easily applicable to adjust lip tension or tonus during the 3-4 day interval required for the palmaris longus tendon to affix to the malar region. Mean time for fixation of the tendon was 7 days.en_US
dc.identifier.endpage10en_US
dc.identifier.issn1307-671X
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-84894325472en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage7en_US
dc.identifier.urihttps://hdl.handle.net/11616/91550
dc.identifier.volume15en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofDuzce Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdjustable suspensionen_US
dc.subjectLower lip reconstructionen_US
dc.subjectPalmaris longus tendonen_US
dc.subjectRadial forearm flapen_US
dc.titleFunctional reconstruction of large lower lip defects with adjustable suture assisted palmaris longus tendon in free flapsen_US
dc.title.alternativeGeniş alt dudak defektlerinde serbest fleplerin ayarlanabilir sütür yardi{dotless}mli{dotless} palmaris longus tendonuyla fonksiyonel rekonstrüksiyonuen_US
dc.typeArticleen_US

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