The myomucosal lip island flap offers an alternative that preserves lower lip … A switch flap from the opposite lip was used for reconstruction of the oral commissure and oral sphincter, and a rectus abdominis myocutaneous flap with two or three … Vermilion Reconstruction • A V-Y advancement flap … Flap surgery is surgery in which normal tissue, either … The lower lip is most important in maintaining a “dam” effect to maintain oral competence, and reconstruction techniques that maintain the muscle integrity of the lower lip are more useful than simply reconstruction with atonic tissue (e.g., free radial forearm flap). Importance: Reconstruction of small to medium lower lip defects commonly includes mucosal advancement and wedge excision with primary closure, resulting in aesthetic complications such as lip flattening, shortening, and loss of the vermilion roll. The Estlander flap is a hardy local flap which can be used to reconstruct defects of 1/3-2/3 of both the upper and lower lip. Vermilion Reconstruction • advancement of a musculovermilion flap, raised deep to the labial artery • for defects of lower lip up to 1/3 (maybe 1/2) of lip 32. Various methods of reconstruction of large defects of the lower lip have been described. In the first stage of this facial reconstruction… The lower lip … Lip reconstruction for defects which involve the commissure remains a significant challenge to the facial plastic surgeon. Major and subtotal or total lip reconstruction surgery is more complex and typically involves the creation of a flap. Complete lower lip reconstruction with in-folded extended pedicled deltopectoral flap: Case report and review of the literature Olayinka A Olawoye 1, Oluwabunmi M Fatungase 2 1 … However, microstomia, distortion of oral commissure, lip functional problems and sensory loss might be problems with these techniques. Reconstruction was achieved using a T-pattern (also called an 'O to T flap') complex-closure, meaning that the skin was brought together and re-arranged above the red (vermillion border) of the lip so that the lip … Lip defects can be classified according to thickness of the defect (ie, skin or mucosa only, full-thickness) and overall size of the defect. The aim of this study is to evaluate McGregor flap reconstruction of large lower lip … An excellent flap for closure of small defects on or just above the vermillion border involving both the cutaneous lip and vermillion lip is the Cupid’s bow repair as described by Mellette.4 The flap is drawn similar to a mucosal advancement flap, but incorporates a bow shape, mimicking the patient’s Cupid’s bow in the upper cutaneous lip. Individual patient factors, such as previous operations, underlying comorbidities, compliance, and mechanisms for the wound defect, may affect choices of reconstruction… The nostril (nasal ala) was repaired with a 2 staged interpolated cheek flap (nasolabial flap) procedure. Herein, we describe the operative technique of the Estlander flap for lip reconstruction. Goals: This patient had nose reconstruction to repair a nasal defect involving the nostril margin and the cheek.
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