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Fortune cookie modification in free radialfacsiocutaneous flap inset in oral commissure


Mehrdad Jafari MD*

Valiasr Hospital, Imam Khomeini Hospital Complex, Bagher khan St., Towhid Sq, Tehran, Iran

Correspondence to Author: Mehrdad Jafari MD


Tumors in cheek and oral commissure are not uncommon and free flaps are more acceptable solutions for large defects after tumor excision. Flap inset as the last stage of surgery and reconstruction has its importance. Aesthetically, free flap inset usually is not what patient expects, due to large or bizarre shapes. Every deformity in this area is significant and unpleasant. There are numerous solutions to refinement in flap inset. Authors tried to present their modification named Fortune Cookie in this flaps as folding transferred flap and de-epithelialization of folded part and approximating raw surfaces together. By this way, the final flap has more smooth surface and the pedicle is preserved

Therapeutic level V


Mehrdad Jafari MD. Fortune cookie modification in free radial facsiocutaneous flap inset in oral commissure. World Journal of Clinical Surgery 2023.

Journal Info

  • Journal Name: World Journal of Clinical Surgery
  • Impact Factor: 2.709**
  • ISSN: 2766-6182
  • DOI: 10.52338/wjsurgy
  • Short Name: WJCSR
  • Acceptance rate: 55%
  • Volume: 6 (2024)
  • Submission to acceptance: 25 days
  • Acceptance to publication: 10 days


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