Staged sequential reconstruction of a total lower lip, chin, and anterior mandibular defect
| Autor: | James C. Yuen, Anthony Zhou, Kris Shewmake, J C Yuen, A Zhou, K Shewmake |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Male
medicine.medical_specialty Chin medicine.medical_treatment Tissue Expansion Free flap Surgical Flaps medicine Humans Vermilion border Fibula business.industry Mandible Mandibular Prosthesis Implantation Middle Aged Plastic Surgery Procedures Surgery Plastic surgery Mandibular Neoplasms medicine.anatomical_structure Chin augmentation Lip Neoplasms Carcinoma Squamous Cell business Tissue expansion |
| Zdroj: | Annals of plastic surgery. 40(3) |
| ISSN: | 0148-7043 |
| Popis: | The combination of a total lower lip, chin, and anterior mandibular defect following cancer resection is an extremely complex problem that requires a sequence of operations to optimize functional and aesthetic results. One patient is presented in whom the defect was reconstructed with a free fibular flap followed by a series of ancillary procedures using both modern and traditional techniques. At the time of tumor ablation, the through-and-through oromandibular defect was reconstructed with a fibular osteocutaneous flap. The lower lip and gingivolabial sulcus was reconstructed later with a tongue flap. Tissue expansion was subsequently used to replace the fibular skin with expanded submental hair-bearing skin. A polyethylene implant was added later to the fibular bone for chin augmentation. Subsequently the lower lip was supported with a tendinous graft suspended to the anterior masseter bilaterally. Lastly, the vermilion border was elevated by removing a rim of the tongue flap and covering the secondary wound with a full-thickness skin graft. At the end of the reconstructive procedures, lip seal and oral aperture were good with no drooling and excellent speech. |
| Databáze: | OpenAIRE |
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