Lip Reconstruction

Baumann, Donald P.; Robb, Geoffrey L.

doi:10.1055/s-0028-1095886

Cited by 87 publications

(62 citation statements)

References 19 publications

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“…Dil flebinin zengin vaskülarizasyonu bu flebi olanaklı hale getirmiştir. Ancak yine 2 aşamalı bir prosedür olması ve flep ayrılana kadar hasta konforunu göz ardı eden bir teknik olması ama en önemlisi her zaman sonucun estetik açıdan başarılı olamaması bu tekniğin dezavantajlarıdır (15).…”

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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Section: Discussionunclassified

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

Taş¹

2017

Haseki

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“…This can be overcome with a brachiradialis muscle being harvested with the skin flap to add bulk. For bulky flaps secondary thinning in the appropriate zones with liposuction will improve the aesthetics and the use of fat injection is also of value secondary bulking of the neo-lip [7,8]. From aesthetic point of view the use of distant flaps i.e.…”

Section: Discussionmentioning

confidence: 99%

The Use of Radial Forearm Free Flap for Total Lower Lip Reconstruction:The Analysis of 10 Consequentive Cases and Quality of Life Evaluation

Szymczyk¹

2011

Otolaryngol

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“…The second goal is preservation of function and aesthetics. 14 We analyzed our data for patients large NMSC's of the perioral region, who underwent tumor surgery. As shown, most patients belong to the age group of over 70 years.…”

Section: Discussionmentioning

confidence: 99%

Reconstructive surgery in advanced perioral non-melanoma skin cancer. Results in elderly patients.

Wollina¹

2014

J Dermatol Case Rep

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Background: Nonmelanoma skin cancer (NMSC) of the perioral region is not uncommon. Basal cell carcinoma is predominant in the upper lip area and squamous cell carcinoma in the lower lip area. While smaller lesions can be treated by excision followed by primary closure larger defects after tumor surgery can be challenging.Objectives: Analysis of outcome after complete surgical excision with micrographical control of excision margins (delayed Mohs surgery) of large NMSC's of the perioral region (lips and chin). Patients and methods:This is a retrospective, single-center analysis of patients with defects after delayed Mohs surgery of ≥ 3 cm of the perioral region. The study included a total of 25 patients (4 women and 21 men) with a mean age of 83.7 years. Twenty patients were diagnosed with squamous cell carcinoma and five had basal cell carcinoma. The lower lip was affected in 19 patients, the upper lip in 4 patients and the chin in 2 patients. Tumor stage was either T1N0M0 or T2N0M0. The most common procedure for lower lip defect closure was staircase or modified staircase technique. Cheek advancement flaps were used for upper lip defect closure. Inferiorly based nasolabial rotational flap, cheek rotational flap and modified Webster flap were also employed. In one patient Webster flap and unilateral staircase technique were combined. Results:In all patients the tumor was removed completely with preservation of function and aesthetics. No local recurrence was observed after a median follow-up of 4.9 years. Conclusion:Perioral reconstruction after removal of large NMSC is a complex issue. The age group of over 70 years, frequently with comorbidities, requires a robust surgical technique with short operation times and tailored approaches for defect closure. (J Dermatol Case Rep.

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Lip Reconstruction

Cited by 87 publications

References 19 publications

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

The Use of Radial Forearm Free Flap for Total Lower Lip Reconstruction:The Analysis of 10 Consequentive Cases and Quality of Life Evaluation

Reconstructive surgery in advanced perioral non-melanoma skin cancer. Results in elderly patients.

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