Vermilionectomy followed by reconstruction of the vermilion mucosa using allograft dermal matrix in patients with actinic cheilitis of the lower lip
Autor: | Wei-liang Chen, Jianglong Zhong, Bin Zhou, Zhuo‐shan Huang, Shao‐hai Chang |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Lower lip Dermatology 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Humans In patient Vermilion Aged Mucous Membrane business.industry Actinic cheilitis Cosmesis Middle Aged Allografts medicine.disease Lip Surgery Cheilitis 030220 oncology & carcinogenesis Lip Neoplasms Carcinoma Squamous Cell Female Neoplasm Recurrence Local Vermilionectomy Dermal matrix business |
Zdroj: | Journal of Cosmetic Dermatology. 20:263-266 |
ISSN: | 1473-2165 1473-2130 |
Popis: | Background When treating actinic cheilitis (AC), it is essential to minimize the risk of malignant transformation (MT) and maintain lip functionality and cosmesis. Aims We evaluated the outcomes of vermilionectomy followed by reconstruction of the vermilion mucosa using allograft dermal matrix (ADM) in patients with AC of the lower lip. Materials and methods We evaluated eight patients with lower lip AC who underwent vermilion mucosa reconstruction using ADM after vermilionectomy. We enrolled five males and three females ranging in age from 55 to 70 years (mean, 62.1 years). The ADM ranged in area from 1.3 × 5.0 to 1.7 × 5.8 cm (median, 1.6 × 5.5 cm). All patients were followed up for at least 3 months postoperatively by a panel of three surgeons who assessed the esthetic results, and orbicularis oris and speech functions. Results All patients underwent successful reconstruction of the vermilion mucosa using ADM after vermilionectomy, without complications. The postoperative esthetic results, and the orbicularis oris and speech functions, were satisfactory to excellent in all patients. Patients were followed up for 18-38 months (median, 26.1 months). No MT or recurrence was noted. Conclusions Vermilionectomy followed by reconstruction of the vermilion mucosa with ADM is safe and feasible for AC patients. |
Databáze: | OpenAIRE |
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