Lip reconstruction using a functioning serratus anterior free flap: preliminary study

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dc.contributor.authorGundeslioglu, A. O.
dc.contributor.authorKaradag, E. C.
dc.contributor.authorInan, I.
dc.contributor.authorJasharllari, L.
dc.contributor.authorSelimoglu, M. N.
dc.contributor.authorGuney, F.
dc.contributor.authorYuruten, B.
dc.date.accessioned2024-02-23T14:03:12Z
dc.date.available2024-02-23T14:03:12Z
dc.date.issued2017
dc.departmentNEÜen_US
dc.description.abstractReconstructive surgery to the lips requires the replacement of defective tissues with similarly functioning tissues. While non-dynamic free tissue transfers provide adequate lower lip reconstruction, improved benefits may be obtained with innervated free muscle flaps. This study reports the use of innervated serratus anterior muscle free flaps for lip reconstruction in five patients. All patients had squamous cell carcinoma of either the upper or lower lip. After resection of the tumours, the resultant defects comprised two-thirds of the lips. The innervated serratus anterior muscle free flap was transferred to the lip and an end-to-end vascular anastomosis on the facial artery was performed. The marginal mandibular branch of the facial nerve was preferred for nerve coaptation. The inner and outer surfaces of the flaps were grafted with a split-thickness skin graft. Concentric needle electromyography of the orbicularis oris and frontal muscles was performed for all patients in the preoperative, postoperative, and follow-up periods. All patients survived the surgical operation. Three patients achieved perfect oral sphincter function without drooling. Electromyography at 1 year postoperative demonstrated the successful reinnervation of the serratus anterior muscle. This study demonstrates that lip reconstruction using an innervated serratus anterior muscle free flap is a reliable method, providing a functional lower lip.en_US
dc.identifier.doi10.1016/j.ijom.2017.04.026
dc.identifier.endpage1247en_US
dc.identifier.issn0901-5027
dc.identifier.issn1399-0020
dc.identifier.issue10en_US
dc.identifier.pmid28532969en_US
dc.identifier.scopus2-s2.0-85019897993en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1243en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijom.2017.04.026
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12013
dc.identifier.volume46en_US
dc.identifier.wosWOS:000412039200005en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherChurchill Livingstoneen_US
dc.relation.ispartofInternational Journal Of Oral And Maxillofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLower Lipen_US
dc.subjectFunctional Reconstructionen_US
dc.subjectFree Flapen_US
dc.subjectSerratus Anterior Muscleen_US
dc.titleLip reconstruction using a functioning serratus anterior free flap: preliminary studyen_US
dc.typeArticleen_US

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