{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:59:37Z","timestamp":1760576377031,"version":"build-2065373602"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Pediatric lower lip reconstruction is rare and technically challenging due to small donor sites, ongoing facial growth, and functional demands, such as speech and oral competence. We present the case of a one-year-old male who sustained complete avulsion of the lower lip from a dog bite. Initial management included a Karapandzic advancement flap for coverage. Definitive reconstruction at 23\u00a0months involved a radial forearm free flap with palmaris longus tendon for static suspension, augmented by acellular dermal matrix. Postoperative dehiscence required revision vestibuloplasty with a split-thickness skin graft. The patient achieved adequate lip suspension, improved sialorrhea, and restoration of oral competence by the first postoperative visit. Free flap reconstruction of the lower lip in children under two is feasible and can yield functional and aesthetic outcomes when individualized planning and multidisciplinary care are employed.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf811","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T18:34:14Z","timestamp":1760553254000},"source":"Crossref","is-referenced-by-count":0,"title":["Complete loss of lower lip in a one-year-old treated with delayed free tissue transfer: a case report and comprehensive review of the literature"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8552-787X","authenticated-orcid":false,"given":"Jacob","family":"Beiriger","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Utah , 50 N. Medical Dr., SOM 3C120, Salt Lake City, UT 84132 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel E","family":"Bestourous","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Utah , 50 N. Medical Dr., SOM 3C120, Salt Lake City, UT 84132 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilam","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Utah , 50 N. Medical Dr., SOM 3C120, Salt Lake City, UT 84132 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reema","family":"Padia","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Utah , 50 N. Medical Dr., SOM 3C120, Salt Lake City, UT 84132 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Cannon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Utah , 50 N. Medical Dr., SOM 3C120, Salt Lake City, UT 84132 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilary C","family":"McCrary","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Utah , 50 N. Medical Dr., SOM 3C120, Salt Lake City, UT 84132 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"2025101514340505300_ref1","doi-asserted-by":"publisher","first-page":"1915","DOI":"10.1002\/lary.27442","article-title":"Free flap transfer for pediatric head and neck reconstruction: what factors influence flap survival?","volume":"129","author":"Liu","year":"2019","journal-title":"Laryngoscope"},{"key":"2025101514340505300_ref2","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1016\/j.bjps.2009.01.051","article-title":"Free tissue transfers in the first 2 years of life--a successful cost effective and humane option","volume":"63","author":"Pinder","year":"2010","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2025101514340505300_ref3","doi-asserted-by":"publisher","first-page":"e313","DOI":"10.1097\/PRS.0b013e3181bf83f1","article-title":"Pediatric free-tissue transfer","volume":"124","author":"Upton","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"2025101514340505300_ref4","doi-asserted-by":"publisher","first-page":"4009","DOI":"10.1245\/s10434-017-6061-6","article-title":"Microsurgical reconstruction following oncologic resection in pediatric patients: a 15-year experience","volume":"24","author":"Starnes-Roubaud","year":"2017","journal-title":"Ann Surg Oncol"},{"key":"2025101514340505300_ref5","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1097\/MOO.0000000000000473","article-title":"Pediatric free flap reconstruction for head and neck defects","volume":"26","author":"Roasa","year":"2018","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"2025101514340505300_ref6","doi-asserted-by":"publisher","first-page":"684","DOI":"10.1002\/hed.20723","article-title":"Gracilis free muscle transfer for morpho-functional reconstruction of the lower lip","volume":"30","author":"Cordova","year":"2008","journal-title":"Head Neck"},{"key":"2025101514340505300_ref7","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1097\/01.PRS.0000090722.16689.9A","article-title":"Total lower lip reconstruction with a composite radial forearm\u2013palmaris longus tendon flap: a clinical series","volume":"113","author":"Jeng","year":"2004","journal-title":"Plast Reconstr Surg"},{"key":"2025101514340505300_ref8","doi-asserted-by":"publisher","first-page":"2899","DOI":"10.1016\/j.joms.2012.02.035","article-title":"Outcomes of total or near-total lip reconstruction with microvascular tissue transfer","volume":"70","author":"Fernandes","year":"2012","journal-title":"J Oral Maxillofac Surg"},{"key":"2025101514340505300_ref9","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1097\/SAP.0000000000001629","article-title":"Free latissimus dorsi myocutaneous flap in a 6-month-old child for reconstruction of a temporal fossa defect after teratoma resection","volume":"82","author":"Fried","year":"2019","journal-title":"Ann Plast Surg"},{"key":"2025101514340505300_ref10","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1097\/MOO.0000000000000434","article-title":"Free flaps for head and neck cancer in paediatric and neonatal patients","volume":"26","author":"Elledge","year":"2018","journal-title":"Curr Opin Otolaryngol Head Neck Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf811\/64702181\/rjaf811.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf811\/64702181\/rjaf811.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T18:34:15Z","timestamp":1760553255000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf811\/8285940"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,9,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf811","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,9,30]]},"article-number":"rjaf811"}}