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Lip Reconstruction (lip + reconstruction)
Selected AbstractsModified Von Bruns' Technique for Total Lower Lip ReconstructionDERMATOLOGIC SURGERY, Issue 3 2004Neta Adler MD Background. Large defects of the lower lip represent a challenge to the reconstructive surgeon. The reconstructed lip should be sensate, retain muscle function, allow sufficient mouth opening for dentures, and have an acceptable aesthetic appearance. Many surgical techniques for lower lip reconstruction have been reported. We describe a modification of von Bruns' technique for reconstruction of the lower lip and both commissures. Objective. To present a surgical technique for reconstruction of the lower lip and both commissures, which we applied in a patient with a huge squamous cell carcinoma of the total lower lip and part of the upper lip. Methods. Two upper nasolabial flaps, one above the other, were used. The surgical technique is discussed. Conclusion. The technique is simple and is one stage. It provides complete support to the reconstructed lower lip and commissures. [source] Total upper lip reconstruction with a free temporal scalp flap: Long-term follow-up ,HEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 7 2003Kao-Ping Chang MD Abstract Background. In men, reconstruction of large full-thickness defects of the upper lip requires both an inner layer to replace the mucosal lining and an outer hair-bearing layer. Methods. When locating the superficial temporal vessels, the design of the temporal flap is marked following the hairline needed. After meticulously dissecting the flap, it is inset and microanastomosed with the facial blood vessels. The internal mucosal layer of the flap is grafted on. During the follow-up period, the sensory recovery and motor functions are examined and recorded. Results. The postoperative courses were uneventful, and patients were satisfied with the results. One patient has a long follow-up period of 18 years. Conclusions. The free temporal scalp hair-bearing flap offers a reasonable alternative to conventional techniques in the reconstruction of large defects of the male upper lip or even a total upper lip. It is a single-staged, relatively simple method of providing hair-bearing skin to the upper lip. © 2003 Wiley Periodicals, Inc. Head Neck 25: 602,605, 2003 [source] Reconstruction of the Through-and-Through Anterior Mandibulectomy Defect: Indications and Limitations of the Double-Skin Paddle Fibular Free Flap,THE LARYNGOSCOPE, Issue 8 2008Frederic W.-B. Abstract Objectives/Hypothesis: The purpose of this report is to describe our recent experience using a double-skin paddle fibular free flap (DSPFFF) for reconstruction of the through-and-through anterior mandibulectomy defect and to present a reconstructive algorithm based on the extent of lip and mental skin resection. Study Design: Retrospective review of 10 consecutive patients with through-and-through anterior mandibulectomy defects. Methods: Outcomes that were examined included methods of reconstruction based on the cutaneous defect, flap complications, fistula rate, and donor site complications. Results: Seven patients were reconstructed with a DSPFFF. For lip reconstruction, two patients were also concomitantly reconstructed with Karapandzic or lip advancement flaps. Three patients were reconstructed with both a fibular free flap and a second free flap (1 radial forearm fasciocutaneous flap and 2 anterolateral thigh flaps). The transverse dimensions of the DSPFFFs were as great as 15 cm. None of the patients developed a fistula. All free tissue transfers were successful. One patient developed partial loss of the fibular skin paddle used for submental skin replacement. Conclusions: DSPFFF is a safe and reliable way to reconstruct an anterior through-and-through mandibular defect. Indications for using a DSPFFF are 1) a cutaneous defect that lies at or below the plane of the reconstructed mandible, 2) a transverse width of the oral mucosa and cutaneous defect that does not exceed 15 cm (the approximate distance from the mid-calf to the anterior midline), and 3) a lip defect that, if present, can be reconstructed with local flaps. [source] | ||||||||||