“Fortune cookie” modification in free radial facsiocutaneous flap inset in oral commissure
1 Otolaryngology research center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
2 Plastic & Reconstructive surgery Department, Zaree Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
3 Plastic & Reconstructive surgery Department, Medicine school, Tehran University of Medical Sciences, Tehran, Iran.
Case Study
World Journal of Advanced Research and Reviews, 2023, 19(02), 354–356
Article DOI: 10.30574/wjarr.2023.19.2.1475
Publication history:
Received on 13 June 2023; revised on 05 August 2023; accepted on 07 August 2023
Abstract:
Tumors in cheek and oral commissure are not uncommon and free flaps are more acceptable solutions for large defects after tumor excision. Flap inset as the last stage of surgery and reconstruction has its importance. Aesthetically, free flap inset usually is not what patient expects, due to large or bizarre shapes. Every deformity in this area is significant and unpleasant. There are numerous solutions to refinement in flap inset. Authors tried to present their modification named " Fortune Cookie" in this flaps as folding transferred flap and de-epithelialization of folded part and approximating raw surfaces together. By this way, the final flap has more smooth surface and the pedicle is preserved.
Keywords:
Radial Forearm Flap; Fortune Cookie; Flap Inset; Level of Evidence; Therapeutic level V
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