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Revista Española de Cirugía Oral y Maxilofacial

On-line version ISSN 2173-9161Print version ISSN 1130-0558


GALLANA ALVAREZ, S. et al. Reconstruction of defects in the genian region with flaps and muscle suspension. Rev Esp Cirug Oral y Maxilofac [online]. 2007, vol.29, n.2, pp.90-98. ISSN 2173-9161.

We present three patients whose genian complex defects were reconstructed with several cutaneous flaps and dynamic suspension of the temporal muscle. Complex genian defects are those that involve major skin and facial muscle loss, which can also include genian mucous or not. Two cases involved a nodular lesion in the genian region with biopsy reports that indicated dermatofibrosarcoma protuberans, without previous treatment; the other patient had an epidermoide carcinoma, which had been operated twice, and she had received radiotherapy. For the cutaneous reconstruction a composite free radial forearm flap, a cervicofacial flap and a temporal muscle flap were used. Primary healing with no complications was achieved in all patients together with good aesthetic and functional results.

Keywords : Free radial forearm flap; Palmaris longus tendon; Facial suspension; Temporal muscle; Facial paralysis; Coronoid process.

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