Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap
Figure 1
Surgical technique. (a) Marking of radial artery (two arrows) and palmaris longus tendon (three arrows), (b) Flap elevated showing vascular pedicle (thin arrows) and palmaris longus tendon (thick arrows) attached to the under surface of the flap by thin peritendon. (c) Part of the flap is sutured to the oral mucosa for lining and the tendon (Arrows) is secured to the Modioulus, Buccinator muscle. (d) The skin paddle is folded over the tendon (e) and suturing it in place. (f) Donor site is covered with split thickness skin graft.
