MYOCUTANEOUS FLAPS IN LIP RECONSTRUCTION Applications of the Karapandzic Principle

Jabaley, Michael E.; R, Clément; Orcutt, Thomas W.

doi:10.1097/00006534-197705000-00010

Cited by 41 publications

(12 citation statements)

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“…The addition of a tongue flap adds yet another stage to the reconstruction adding to the morbidity. 4 In an attempt to obviate the need for a tongue flap which might be more suited in a Western setting, author have employed modification of McGregor's fan flap by suturing the flap's mucosa to the deepithilised cut skin margin which forms the neovermilion and gives a very satisfactory vermilion reconstruction. 3,7 Though this modification of the McGregor's fan flap does not preserve the motor and sensory innervations to the flap, the patient does not have any significant complaints because of the same.…”

Section: Discussionmentioning

confidence: 99%

“…The skin on the a'b'margin is deepithilisation for a distance of approximately 5mm and the mucosal side is sutured to the deepithilisation portion forming a neo-vermilion. 4 Then suturing is done starting from the vermilion in 3 layers: mucosa, muscle (orbicularis oris to oris) and skin. The sutures used are vicryl 4-0 round body for mucosal and muscle suturing and nylon 5-0 for skin suturing.…”

Section: Methodsmentioning

confidence: 99%

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Modified Mc-Gregor’s fan flap for lower lip reconstruction: a two years institutional experience

Shah

Patel

2018

Int Surg J

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Background: Aim of the study was to evaluate the modified fan flaps done during the past two years with regard to applicability, reliability, functional perspective and complications.Methods: All the cases of lower lip defects which were reconstructed using modified Mc Gregor’s fan flaps were included and followed up prospectively at periodic intervals up to 2 years. The indications, applicability to defect size, postoperative aesthetic and functional results and drawbacks were noted.Results: Total 21 modified fan flaps were done during this period. All were done for squamous cell carcinoma affecting lower lip. All the flaps survived, four patients had marginal mucosal loss of neovermilion which healed by secondary intention, 1 case of Bilateral modified Gilles fan flap developed little microstomia, 1 flap with bilateral fan flap had dehiscence of suture line leading to significant morbidity which later had to be closed by secondary resuturing.Conclusions: The modified Mc-Gregors fan flaps are safe and reliable flap for lower lip reconstruction in terms of acceptability and function.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Modified Mc-Gregor’s fan flap for lower lip reconstruction: a two years institutional experience

Shah

Patel

2018

Int Surg J

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“…La mayoría de ellos utilizan piel de las zonas próximas como son el labio no afectado tipo Abbe (5) , de la mejilla tipo Guillies o Estlander (4) , del mentón tipo Bernard, etc. La técnica elegida por nosotros proporciona como ventajas, en lesiones de dimensiones considerables, la realización en un solo tiempo quirúrgico y la preservación de una importante red vasculonerviosa que permite una amplia seguridad tisular, con colgajos móviles y sensibles (6)(7)(8) .…”

Section: Reconstrucción De Labio Inferior Con Técnica De Karapandzicunclassified

“Lip Lowerreconstruction With Karapandzic’s Technique”

et al. 2018

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ResumenLa región de los labios representa una zona anatómica de interés debido a que tiene una frecuencia importante de patología tumoral. Su reconstrucción es un desafío ya que se debe lograr un buen resultado tanto funcional como estético.Debido a esto, se han descrito numerosas técnicas para la reconstrucción de esta zona. Nosotros seguimos una técnica basada en la preservación anatómica de los pedículos faciales que mantiene la irrigación y la funcionalidad futura del labio.Palabras clave: Carcinoma epidermoide, colgajo de karapanzic. AbstRActThe region of the lips represents an anatomical area of interest because it has an important frequency of tumoral pathology. Its reconstruction is a challenge since it must achieve a good result both functional and aesthetic. Because of this, numerous techniques have been described for the reconstruction of this area. We follow a technique based on the anatomical preservation of the facial pedicles that maintains the irrigation and the future functionality of the lip.

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“…Another method of reconstruction of the lower lip has been described by Karapandzic and his principles further expounded by Jabaley et al Karapandzic's technique is excellent for reconstructing defects of one‐third to three‐fourths of the lower lip. It was originally described by Bernard and modified by Webster, whose method, as illustrated in this paper, is in our opinion superior for reconstruction of an entire lower lip.…”

Section: Surgical Proceduresmentioning

confidence: 99%