Cross Lip Flap in Vermilion Reconstruction

Standoli, L

doi:10.1097/00000637-199402000-00020

Cited by 20 publications

(7 citation statements)

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“…The other commonly used surgical option is a vermilionectomy and the mucosal flap to close the defect after excision 12. Actinic cheilosis with progression to verrucous carcinoma or squamous cell carcinoma is treated by a conventional surgical excision.…”

Section: Discussionmentioning

confidence: 99%

Actinic cheilosis: early intervention prevents malignant transformation

Muthukrishnan¹,

Kumar

2017

BMJ Case Reports

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Potentially malignant disorders (PMD) have a high risk of malignant transformation. Habits such as tobacco and alcohol use predispose to PMD and subsequently to an oral carcinoma. Oral squamous cell carcinoma (OSCC) can occur even without the usage of tobacco. Occupational exposure to actinic rays may predispose to the development of OSCC in the lip. People who are involved in farming or those exposed to an environmental background radiation, such as ultraviolet rays, develop a PMD called actinic cheilosis. A high proportion of patients with actinic cheilosis develop an oral carcinoma when not diagnosed and treated in early stages. This case depicts the clinical and histological changes in a 61-year-old Indian man with actinic cheilosis.

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Section: Discussionmentioning

confidence: 99%

Actinic cheilosis: early intervention prevents malignant transformation

Muthukrishnan¹,

Kumar

2017

BMJ Case Reports

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“…a) Kırk yedi yaşındaki erkek hasta, alt dudak paramediyan hatta, mukozal displazi tanısıyla opere edildi, preoperatif görüntüsü b) lezyonun eksizyon sınırları 2 mm'lik güvenlik marjı bırakılarak belirlendi, intraoperatif görüntüsü c) ağız içinden defekt ile 60 derece açı yapacak şekilde 4x2 cm ebadındaki mukozal transpozisyon flebi planlandı Şekil5. a) Hastanın, postoperatif 12. ay görüntüsü, b) hastanın takip süresi boyunca, ağız içinde, flebin kaldırıldığı donör sahada herhangi bir skar kontraksiyonu ya da fornikste sığlaşma gibi bir, komplikasyon ile karşılaşılmadı, operasyona bağlı skar fark edilecek ölçüde değildi dezavantajdan bahsetmek gerekir; operasyon iki aşamalıdır, karşı vermilionda da deformiteye neden (13,14). Dil flebi, vermilion onarımında kullanılan başka bir seçenektir.…”

Section: Discussionunclassified

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

Taş¹

2017

Haseki

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Aim: Lip, located in lower 1/3 of the face, is very important unit from aesthetic and functional aspect. Vermilion is a subunit of the lip and also has aesthetic and sensorial functions. Following the trauma and cancer surgeries, vermilion reconstruction is needed and it needs experienced and meticulous procedures. Here, it is aimed to describe the experience of mucosal transposition flap in reconstruction of partial vermilion defects with a detailed operation technique, the results of the patients and review of the literature. Methods:Between February 2014 and May 2015, nine patients (eight male, one female; mean age 45, range 34 to 52) were diagnosed precancerous lesion with punch biopsy and were underwent a surgical excision and vermilion reconstruction under local anesthesia. The patients were followed up 1 year with a interval of postoperative 7. 7. day and 1, 3, 6 and 12. month. The histopatologic, functional and aesthetic records were evaluated.Results: Functional and excellent aesthetic results were achieved in all patients. No complication nor recurrence was observed during followup period. Conclusion:Oral mucosal transposition flap was considered as first choice in reconstruction of the partial vermilion defects since its functional and aesthetic success and no donor tissue morbidity.

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“…Moreover, upper lip cross-vermilion flap can be used also for lower lip vermilion. 21 At first, it was introduced by Kawamoto, 22 and then it was modified by Margulis et al 23 as tritailed flap. The island variants, bipedicled and vermilion submucosal pedicle cross-lip flaps, are also correlative.…”

Section: Discussionmentioning

confidence: 99%