Simplifying Lip Reconstruction: An Algorithmic Approach

Sanniec, Kyle; Carboy, Jourdan A.; Thornton, James F.

doi:10.1055/s-0038-1645882

Cited by 26 publications

(35 citation statements)

References 22 publications

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“…[16][17][18] In addition to their aesthetic importance, the lips manipulate oral competence which in turn allows the patient to eat, drink, and produce intelligible speech. 19 Additionally, the lips are also essential components of nonverbal communication as they play a pivotal role in the expression of emotion. When comparing the upper and lower lip anatomy, the upper lip has multiple aesthetically important subunits including the philtrum, white roll, and Cupid's bow (►Fig.…”

Section: Lip Reconstructionmentioning

confidence: 99%

Use of Biologic Agents for Lip and Cheek Reconstruction

et al. 2022

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The unique requirements of reconstructing cheek defects, often with its proximity to the mobile elements of the face including the lip and the eyelid, have been met very handily with the directed and thoughtful use of biologic wound healing agents. One of the key advantages of these agents is their ability to provide coverage for the mobile elements of the cheek and the lip in patients with multiple co-morbidities. These agents are successfully used where the standard cheek closure techniques including cervicofacial advancement flap are contraindicated due to its anesthetic requirement. Additionally, lip reconstruction involves examining the lip's three anatomic layers: mucosa, muscle, and skin. The defects must be planned for reconstruction based on the involvement of these layers. This paper serves to introduce the use of biologic wound healing agents depending on the involvement of these layers. The authors provide specific illustrations of these agents based on defect location, tissue involvement, and severity of the defect to help with procedural planning to reconstruct a very aesthetically involved part of the face.

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Section: Lip Reconstructionmentioning

confidence: 99%

Use of Biologic Agents for Lip and Cheek Reconstruction

et al. 2022

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“…16 17 18 In addition to their aesthetic importance, the lips manipulate oral competence which in turn allows the patient to eat, drink, and produce intelligible speech. 19 Additionally, the lips are also essential components of nonverbal communication as they play a pivotal role in the expression of emotion. When comparing the upper and lower lip anatomy, the upper lip has multiple aesthetically important subunits including the philtrum, white roll, and Cupid's bow ( Fig.…”

Section: Lip Reconstructionmentioning

confidence: 99%

Use of Biologic Agents for Lip and Cheek Reconstruction

Depani

Thornton

2021

Semin Plast Surg

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The unique requirements of reconstructing cheek defects, often with its proximity to the mobile elements of the face including the lip and the eyelid, have been met very handily with the directed and thoughtful use of biologic wound healing agents. One of the key advantages of these agents is their ability to provide coverage in patients with multiple comorbid conditions for the mobile elements of the cheek where the cervicofacial advancement flap is contraindicated due to its anesthetic requirement. The biologic agents are also highly successful coverage options for patients who have limited skin laxity to provide for proper skin closure using the standard cheek closure techniques with local flaps. In addition, these agents provide an ability to provide stable wound closure with minimal wound care while waiting for the excisional biopsy results to be finalized. This article describes the unique indications for biologic wound agents, including preservation of lip and eyelid mobile element anatomy without retraction from a local flap, which has not been previously described.

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“…The Karapandzic flap is indicated in defects of less than 75% 8 ; it can achieve adequate functional results with sensitivity preservation, but for large defects, microstomy is unavoidable. 11 The McGregor flap maintains the intercommissural distance; it requires the reconstruction of a new vermilion, but the direction of the orbicularis oris muscle fibers is altered. The Bernard-Webster flap offers adequate reconstruction 13 by transferring tissue from the cheek, limiting microstomy 19 ; however, it carries a significant perioral scar.…”

Section: Discussionmentioning

confidence: 99%

Functional and Aesthetic Lower Lip Reconstruction Using the Yotsuyanagy Flap

2021

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Lower lip defects are a major challenge from a reconstructive perspective. The lower lip is an anatomical region formed by different types of tissue, and it is essential to obtain adequate functional and aesthetic results. When local tissue is available to be a donor area, it becomes the best option to repair the defect. This article's purpose is to present our experience in reconstruction of partial or transfixing total defects of the lower lip with the musculocutaneous flap of the depressor anguli oris described by Yotsuyanagi.

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Simplifying Lip Reconstruction: An Algorithmic Approach

Cited by 26 publications

References 22 publications

Use of Biologic Agents for Lip and Cheek Reconstruction

Use of Biologic Agents for Lip and Cheek Reconstruction

Use of Biologic Agents for Lip and Cheek Reconstruction

Functional and Aesthetic Lower Lip Reconstruction Using the Yotsuyanagy Flap

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