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Updated: Aug 11, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Combination of Mustardé cheek advancement flap and paramedian forehead flap as a functional and aesthetic alternative
Paola Solis-Pazmino1, Richard Godoy1, Eduardo Pilatuña1
1Head and Neck Surgery, Instituto de la Tiroides y Enfermedades de Cabeza y Cuello (ITECC), Quito, Ecuador.
Abstract:
Depending on the size and location, defects resulting from the surgical procedure due to basal cell carcinoma (BCC) may be challenging to reconstruct. A combination of more than one flap type might be necessary for moderate to large-sized defects, especially in face lesions. We present a patient with a large BCC in the nasal region, successfully closed using a combination of rotation and advancement flaps. The patient showed excellent functional and cosmetic outcomes.
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