Firat C.Aytekin A.H.Elmas Ö.Erbatur S.Geyik Y.2024-08-042024-08-0420131307-671Xhttps://hdl.handle.net/11616/91550Purpose: 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.eninfo:eu-repo/semantics/closedAccessAdjustable suspensionLower lip reconstructionPalmaris longus tendonRadial forearm flapArticle1527102-s2.0-84894325472Q4