FULL-THICKNESS RECONSTRUCTION OF CHEEK DEFECT INVOLVING ORAL COMMISSURE WITH FOREARM TENDINOCUTANEOUS FLAP

An 82-year-old man underwent full-thickness reconstruction of the chee k for a defect of the oral commissure resulting from a T(3)N(1)M(0) sq uamous cell carcinoma. He had previously had both radiotherapy and che motherapy. A tendinocutaneous flap from the forearm incorporating palm aris longus was used for static reconstruction. The vermilion was then reconstructed with rotation flaps from the contralateral vermilion. O ral function was restored, and he had no problems with drooling or spe ech.