One-stage reconstruction of a defect of the oral commissure and of the cheek with a radial forearm free flap.

Several reconstructive methods have been proposed for complex clinical cases. These methods are based on composite graft tissue flaps which allow to obtain modest aesthetic-functional results. Only recently, revascularized flaps (fasciocutaneous free flap of radial) have been used. In this work, the authors present a clinical report of cheek mucosal carcinoma extended to the omolateral lip commissure, which has required the full thickness removal of the cheek, the lip commissure, and part of both lips; the use of a bileft free fasciocutaneous flap of radial (to reconstruct with a single flap both the cutaneous and mucosal deficits) has allowed for adequate reconstruction with good aesthetic and functional results.