A Total Lower Lip Reconstruction With a Composite Radial Forearm-Palmaris Longus Tendon Flap: A Clinical Series

Gürlek, Ali; Aslan, Ahmet; Çelık, Mehmet; Aydoğan, Hakan; Alaybeyoğlu, Nezih

doi:10.1097/01.prs.0000153781.88652.aa

Cited by 6 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been used in the reconstruction of other tendons (Mountney et al, 1998;Lin et al, 2004;Unglaub et al, 2006;Chu et al, 2008), for frontalis suspension in the treatment of blepharoptosis (Kurihara et al, 1984;Lam et al, 1996;Park and Shin, 2008), as a substitute for ligaments in the stabilization of joints (Jackson and Saint Onge, 1977;Scheker and Ozer, 2004;Furukawa et al, 2007) or of the digital pulleys (Kaufmann and Pacek, 2006), and for the reconstruction of lip (Gürlek et al, 2005;Cinar et al, 2007) and eyelid defects (Ueda et al, 2007). The palmaris longus tendon is also used as a topographical landmark for surgery in the wrist area (Brones and Wilgis, 1978) and the muscle should be considered as a possible cause of ulnar or median nerve compression syndromes (Tiengo et al, 2006) or of forearm pseudo-masses when hypertrophied (Polesuk and Helms, 1998).…”

Section: Introductionmentioning

confidence: 99%

The palmaris longus muscle and its relations with the antebrachial fascia and the palmar aponeurosis

et al. 2009

View full text Add to dashboard Cite

The palmaris longus (PL) is a muscle of the forearm with a long distal tendon that is continuous with the palmar aponeurosis (PA). It is generally assumed that the muscle lies deep to the antebrachial fascia from origin to termination, but a detailed description is lacking. The relationship of the PL tendon with the antebrachial fascia was studied in 30 dissections. The PL was completely absent in six specimens (20%), whereas the PA was identified in all. Average length of the forearm was 25.5 cm (SD: 2.1 cm, range 22-29 cm), overall length of the PL muscle 26.9 cm (SD: 2.6 cm, range 22.5-31.5 cm), muscular belly 13.8 cm (SD: 3.4 cm, range 9.5-23 cm), tendon 13.1 cm (SD: 3.3 cm, range 8-15.5 cm). Proximally, the PL was situated deep to the antebrachial fascia, then in the lower third of the forearm its tendon perforated the antebrachial fascia (at 4.7 +/- 1.7 cm from the bistyloid line) moving to a suprafascial plane, inserting in the PA. The PA could be divided into two layers: the superficial one formed by longitudinal fibers and adherent to the skin, the deep one formed by transverse fibers continuous laterally with the deep fascia of the hand. The PL tendon was found to be in continuity only with the longitudinal fibers of the PA. Based on the anatomical findings, it may be suggested that the superficial part of the PA is situated in the subcutaneous planes of the palm, and that the muscle should be considered as a tensor of the superficial fascial system of the subcutaneous tissue.

show abstract

Section: Introductionmentioning

confidence: 99%

The palmaris longus muscle and its relations with the antebrachial fascia and the palmar aponeurosis

et al. 2009

View full text Add to dashboard Cite

show abstract

“…To provide an adequate mouth opening for eating and talking is another critical requirement of a successful total lower-lip reconstruction. Since there have been no local flap procedures to fulfill these goals, several lengthy and risky microsurgical procedures [1][2][3][4][5][6] have been used for total lower-lip reconstruction. However, none of these microsurgical procedures could provide an esthetically and functionally acceptable lower-lip reconstruction yet.…”

mentioning

confidence: 99%