Combined Vestibular Mucosal Advancement and Island Pedicle Flaps for the Repair of a Defect Involving the Cutaneous and Vermilion Upper Lip

Roberts, A.Dean; Leithauser, Laurel; Gloster, Hugh Morris

doi:10.1111/dsu.12453

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…Recently many new methods have been reported. [ 8 , 9 ] Some of these methods did not apply to this case; for instance, Kaufman AJ described that surgical wounds most amenable to island pedicle flap closure are less than 50% the height of the philtrum. [ 6 ] Yet, almost 100% of the height of the philtrum was occupied by her lesion, which further extended inferiorly to the commissure.…”

Section: Discussionmentioning

confidence: 99%

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Functional and aesthetic reconstruction of a large upper lip defect using combined three local flaps

et al. 2018

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Rationale:A significant clinical issue for treating patients with large upper lip defects is how to reconstruct the lip functionally and aesthetically. Traditional methods usually lead to asymmetry of the nasal base, philtrum and the lips.Patient concerns:A 22-year-old lady presented with a large congenital nevus on her upper lip which involved the cutaneous, vermilion, and the philtrum. Secondary deformity caused by previous partial excisions was also identified.Diagnoses:Patient was diagnosed as upper lip nevus with secondary deformity after partial excisions.Interventions:We repaired the large upper lip defect by using combined nasolabial rotation flap and orbicularis oris myocutaneous flap. An additional small piece of mucosal flap was used to lengthen the vermilion.Outcomes:After the surgery, patient with large upper lip defects achieved satisfactory cosmetic and functional repair.Lessons:Reconstruction of the upper lip has been successfully accomplished through the use of combined nasolabial rotation flap, orbicularis oris myocutaneous flap, and a small piece of mucosal flap.

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Section: Discussionmentioning

confidence: 99%

“…Various modalities of local flaps have been described for repairing defects in this area. [ 1 – 9 ] However, these conventional methods may still leave an asymmetric appearance or local dysfunction. In an attempt to solve this problem, we report our own technique using combined 3 local flaps for the repair of a large upper lip defect.…”

Section: Introductionmentioning

confidence: 99%

Functional and aesthetic reconstruction of a large upper lip defect using combined three local flaps

et al. 2018

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“…Second intention and primary closure can be used for small defects, but with larger defects or defects involving multiple anatomic subunits, these options become less favorable. 1 Transposition banner, tunneled interpolation, and V-Y advancement flaps (AF) are commonly used; however, these flaps can easily pincushion, leave unnatural lines, and/or blunt vital structures such as the nasolabial fold (NLF) leading to less favorable cosmetic outcomes, especially with larger defects. 1,2 Rotation flaps, if not properly designed, can put upward tension on the lip that could lead to upper lip elevation.…”

Section: Considerationsmentioning

confidence: 99%

Reconstruction of a Large Upper Lip Defect

Roberts¹,

Baird

Davis

et al. 2023

Dermatol Surg

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“…Several techniques for repairing defects of the upper lip have been described, many of them requiring a second surgical time to restore its natural contour. A modified single-step technique for soft tissue reconstruction in the central region of the upper lip following the Goldstein's technique with preservation of both labial arteries is presented [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

A Modified Single-Step Method to Repair a Central Defect of the Upper Lip

García

González-García

Moreno-Sánchez

et al. 2016

J. Maxillofac. Oral Surg.

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Introduction Defects in the central region of the upper lipare difficult to repair. Discussion Several techniques have been described, many of them requiring asecond surgical procedure to obtain acceptable aesthetic results. Case Report A patient with a soft defect in the central region of the upper lip following aggression by human bite is presented. To repair the defect, the principles described by Goldstein for lateral lip defects were used (Goldstein in

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Combined Vestibular Mucosal Advancement and Island Pedicle Flaps for the Repair of a Defect Involving the Cutaneous and Vermilion Upper Lip

Cited by 5 publications

References 4 publications

Functional and aesthetic reconstruction of a large upper lip defect using combined three local flaps

Functional and aesthetic reconstruction of a large upper lip defect using combined three local flaps

Reconstruction of a Large Upper Lip Defect

A Modified Single-Step Method to Repair a Central Defect of the Upper Lip

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