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The value of vascularized tendon transfers with free flaps in perioral and cheek reconstructions
1Department of Plastic and Reconstructive Surgery, Bombay Hospital Medical and Research Centre, Mumbai, India. kirdean@vsnl.com
Abstract:
The effect of gravity and the process of ageing necessitate the support of flaps used for the reconstruction of facial tissues. Perioral and cheek reconstructions exemplify this problem. Support can be obtained using vascularized tendons with free tissue transfers. The radial-forearm neurocutaneous flap with the vascularized palmaris longus tendon and the neurocutaneous lateral arm flap with the vascularized triceps tendon are useful options for resurfacing of these defects. We present 6 cases to highlight the use of the vascularized tendon transfer with free neurocutaneous tissue transfers as composite flaps in perioral and cheek reconstructions.