Myomucosal composite graft: A simple technique for full-thickness vermilion defects of the lower lip.

Autor: Lee KI; Department of Plastic Surgery, Saryang Public Health Office, Tongyeong, South Korea., Han SK; Department of Plastic Surgery, Korea University College of Medicine, Seoul, South Korea., Jeong SH; Department of Plastic Surgery, Korea University College of Medicine, Seoul, South Korea., Dhong ES; Department of Plastic Surgery, Korea University College of Medicine, Seoul, South Korea.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2024 Jul; Vol. 46 (7), pp. 1841-1845. Date of Electronic Publication: 2024 May 08.
DOI: 10.1002/hed.27798
Abstrakt: Reconstruction of vermillion defects of the lower lip requires careful consideration of functional and aesthetic aspects. Traditionally, various local flap methods involving tissue advancement from the corner of the mouth, lateral chin, and medial cheek have been commonly employed to fill lower lip defects. However, these approaches have inherent limitations, which include technical complexity, disruption of the orbicularis oris muscle, lip tightening, microstomia, and visible scarring. To overcome these limitations, we employed a free myomucosal composite graft from the lower lip to reconstruct small to medium vermilion defects. Our technique is based on a simple and reproducible surgical approach that facilitates natural volume rearrangement of tissues. Moreover, this method enables precise inset and tension-free repair, prevents lip tightening, and offers excellent aesthetic outcomes with no vertical scarring and appropriate color matching with surrounding tissues.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
Externí odkaz: