Yu's Technique: An Optimal Local Flap for Lower Lip Reconstruction

Villalba, Natalia Casañas; González, Luis Miguel Redondo; Cagigal, B. Peral; Villar, Alvaro Perez

doi:10.1016/j.joms.2016.08.004

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…17 Alternatively, Yu’s technique offers simultaneous reconstruction of the labial vermilion and is considered another good alternative for the reconstruction of medium-sized lower lip defects. 18 Third, although nasolabial flap has a robust blood supply, ligation of ipsilateral facial artery may still have an impact on the viability of this flap. In a large series including 224 oral cancer patients reconstructed with nasolabial flap, ligation of facial artery was significantly correlated with complicated wound healing and flap loss.…”

Section: Discussionmentioning

confidence: 99%

Inferiorly based nasolabial flap for reconstruction of full-thickness medium-sized lower lip and commissural defects following ablative cancer surgery

Tsai

Chang

Hsiao

2022

Journal of the Chinese Medical Association

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Background: Information regarding the design and usage of inferiorly based nasolabial flap for lower lip and commissural defect reconstruction following ablative cancer surgery remains limited. This study aimed to provide our design and experiences for such reconstructive purpose. Methods: Patients with lower lip or oral commissural cancer who received curative surgery involving reconstruction with inferiorly based nasolabial flap were included. The demographic data and clinical outcomes of these patients were obtained by retrospective chart review. Results: A total of eight patients were enrolled in this study. All patients received ablative surgery at the National Cheng Kung University Hospital during May 2019 to May 2021, with their surgical defects reconstructed with unilateral inferiorly based nasolabial flap successfully. Among the five patients with lower lip cancer, one had a limited area of necrosis at flap tip. Another patient had a small orocutaneous fistula that healed spontaneously. No trismus or oral incompetence was noted following recovery. For the three patients with commissural cancer, a second stage commisuroplasy was needed after primary reconstruction. One patient had limited wound dehiscence at mouth angle following surgery, resulting in mild oral incompetence. Although mild trismus was noted in these three commissural cancer patients, all patients resumed normal diet during follow-up. Conclusion: Inferiorly based nasolabial flap is an excellent local flap for lower lip reconstruction following cancer ablative surgery. It is also a viable option for reconstruction of oral commissural defects. Minimal donor side morbidity, good functional recovery, and esthetic outcomes can be achieved with meticulous flap design.

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Section: Discussionmentioning

confidence: 99%

Inferiorly based nasolabial flap for reconstruction of full-thickness medium-sized lower lip and commissural defects following ablative cancer surgery

Tsai

Chang

Hsiao

2022

Journal of the Chinese Medical Association

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Section: Introductionmentioning

confidence: 99%

“…There are different methods for lip cancer reconstruction, including primary closure, and free flaps [ 2 , 7 ]. While primary closure offers the advantage of less scar tissue and cosmetic benefits, it may not be suitable for cases involving large resections of the lip [ 7 – 9 ]. In cases where major defects of the lower lip need repair, different modalities such as free flap should be utilized because the defect cannot be closed primarily [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature

Mohammadi,

Taghizadeh Mortezaei,

Abdollahi

et al. 2023

J Med Case Reports

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Background Lower lip squamous cell carcinoma is a significant subtype of head and neck cancer, constituting about 25–30% of cases. Traditional surgical methods, like primary closure, have limitations in managing large resections of lip tumors. Recent advancements in surgical techniques, particularly free flaps, have shown promising results in addressing these challenges. The Y-shaped anastomosis is an innovative approach aimed at enhancing the efficiency of microvascular free flap surgeries for improved lip cancer reconstruction outcomes. Case presentation A 77-year-old Persian male with lower lip squamous cell carcinoma underwent tumor resection with a 2 cm safety margin, bilateral neck dissection, and lip reconstruction using the right radial forearm free flap. The surgery incorporated a Y-shaped anastomosis to improve venous pedicle outcomes. Conclusion In this case, it was decided not to open the first anastomosis but to add the second end to the side one to provide two vascular supports for the venous anastomosis. Y anastomosis makes the surgery easier and decreases complications resulting from vascular size mismatch.

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Reconstruction of Perioral Defects After Mohs Micrographic Surgery or Excision: A Systematic Review of the Literature

et al. 2021

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BACKGROUND Although many repair methods for postsurgical lip defects have been described, the literature lacks a comprehensive review of these methods. OBJECTIVE To perform a systematic review of lip defect repair methods after Mohs surgery or excisions. MATERIALS AND METHODS Terms related to perioral anatomy, Mohs surgery and excision, and reconstruction were used to search 8 databases. Articles were included if they reported postsurgical lip repair data for 4 or more patients, were in English, and were published from 2004 onward. Two reviewers screened all titles and abstracts, followed by the full texts of the remaining articles. Data were then extracted including author specialties, study design, demographic, tumor, and defect information, surgical procedures, outcomes, and complications. RESULTS Forty-two studies were eligible, including a randomized trial, 25 case series, and 16 cohort studies. Most were written by dermatologic or plastic surgeons, and most studies were small, with an average subject number of 61. Very few studies used structured outcome measures. Many repair methods were described, the most common of which were linear closures and various flaps. CONCLUSION Many repair methods for lip defects have been published, but overall, the quality of the available evidence is low.

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Yu's Technique: An Optimal Local Flap for Lower Lip Reconstruction

Cited by 3 publications

References 11 publications

Inferiorly based nasolabial flap for reconstruction of full-thickness medium-sized lower lip and commissural defects following ablative cancer surgery

Inferiorly based nasolabial flap for reconstruction of full-thickness medium-sized lower lip and commissural defects following ablative cancer surgery

“Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature

Reconstruction of Perioral Defects After Mohs Micrographic Surgery or Excision: A Systematic Review of the Literature

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