Lower lip repair using double opposing rectangular rotation flaps with reconstruction of the mentolabial groove and mental protuberance
| Autor: | Yu Takayama, Satoshi Yokoo, Takaya Makiguchi, Hidetaka Miyazaki |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Chin Esthetics Tumor resection Lower lip Rotation Surgical Flaps medicine Humans Vermilion border Mental protuberance Vermilion Aged business.industry Vertical distance Anatomy Plastic Surgery Procedures eye diseases stomatognathic diseases medicine.anatomical_structure Otorhinolaryngology Lip Neoplasms Carcinoma Squamous Cell Surgery Oral Surgery business Groove (joinery) |
| Zdroj: | International journal of oral and maxillofacial surgery. 43(9) |
| ISSN: | 1399-0020 |
| Popis: | The use of a rectangular flap is a well known technique for upper lip repair in cleft lip, but is less common for lower lip repair after tumour resection. We have found this type of flap to be favourable for lower lip reconstruction, especially for the lip to mental region. We describe herein an improvement to the technique in which two opposing rectangular flaps, with the length of one side equal to the vertical distance from the mentolabial groove to the vermilion border, were raised on the lateral sides of a U-shaped defect. Reconstruction was performed by interdigitation of the two flaps and a bilateral vermilion advancement flap. This new approach allows a distinct mentolabial groove and mental protuberance to be created by utilizing two opposing rectangular flaps and redundant tissue, without sacrificing sensation and muscle function. Our results suggest that the technique provides excellent functional and cosmetic outcomes in restoration of the lower lip in properly selected patients. |
| Databáze: | OpenAIRE |
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