repair of large lip vermilion defects with mutual cross lip musculomucosal flaps

نویسندگان

ali manafi 1. department of plastic surgery, tehran university of medical sciences, tehran, iran

mohammad ahmadi moghadam 2. plastic surgeon, day hospital, tehran, iran

maryam mansouri 3. plastic surgeon, qom, iran

hamed bateni 4. plastic surgeon, mehr hospital, tehran, iran

چکیده

background vermilion irregularities are common secondary deformities after cleft lip repair, regressed or resected hemangiomas, trauma and tumor surgeries. vermilion deficiency attracts considerable attention and detracts from an otherwise excellent lip repair. minor and moderate vermilion defects can be corrected with upper lip advancement, rotation flaps, tongue flaps or grafts. major defects defy correction with local flaps. a technique is described for correction of large absolute tissue defects of the vermilion using mutual cross-lip musculomucosal flaps (mclmf) or ahmad-ali's flaps. methods this technique was applied in eight patients with major vermilion defects secondary to hemangioma regression, neoplasia, and trauma. reconstruction with mclmf led to create a balanced donor and recipient lips appearance and function. results there were no postoperative complications. surgical results were satisfactory in all patients, and sufficient lip mobility with adequate bulk was maintained. one patient demonstrated minimal transient lip tightening. conclusion use of ahmad-ali's flaps in selected patients resulted in successful reconstruction of severe vermilion defects.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Repair of Large Lip Vermilion defects with Mutual Cross Lip Musculomucosal Flaps

BACKGROUND Vermilion irregularities are common secondary deformities after cleft lip repair, regressed or resected hemangiomas, trauma and tumor surgeries. Vermilion deficiency attracts considerable attention and detracts from an otherwise excellent lip repair. Minor and moderate vermilion defects can be corrected with upper lip advancement, rotation flaps, tongue flaps or grafts. Major defect...

متن کامل

Repair of Large Lip Vermilion defects with Mutual Cross Lip Musculomucosal Flaps

BACKGROUND Vermilion irregularities are common secondary deformities after cleft lip repair, regressed or resected hemangiomas, trauma and tumor surgeries. Vermilion deficiency attracts considerable attention and detracts from an otherwise excellent lip repair. Minor and moderate vermilion defects can be corrected with upper lip advancement, rotation flaps, tongue flaps or grafts. Major defects...

متن کامل

Lip and vermilion reconstruction with the facial artery musculomucosal flap.

The lips are a complex laminated structure. When lost through injury or disease, they present a complex reconstructive challenge. The facial artery musculomucosal (FAMM) flap is a composite flap with features similar to those of lip tissue. In this article, the anatomy, dissection, and clinical applications for the use of the FAMM flap in lip and vermilion reconstruction are discussed. A series...

متن کامل

Vermilion Only Cross-lip Flap for Treating Whistle Deformity in Secondary Bilateral Cleft Lip Repair

Bilateral cleft lip repairs can result in various secondary deformities. One more commonly seen deformity, the whistle deformity, is characterized by a reduced or absent tubercle, orbicularis muscle diastasis, and abnormalities of the philtrum with notched appearance of cupid's bow. Various techniques have been described to address these problems. One common procedure is the lip-switch flap ori...

متن کامل

Aesthetic upper lip reconstruction with vermilion submucosal-pedicle cross-lip flap.

The localized cutaneous amyloidosis occurring on the upper lip of a 48-year-old man was surgically treated and aesthetically reconstructed with vermilion submucosal pedicle partial-thickness cross-lip flap. The reconstruction of the upper lip following the tumor resection or trauma with Abbe flap or its modified methods may not be always satisfactory because it leaves parallel scars extending t...

متن کامل

Stein’s Double Cross-Lip Flaps Combined with Johanson’s Step Technique for Subtotal Lower Lip Reconstruction

UNLABELLED In a previous study, a single cross-lip flap (Abbe flap) combined with Johanson's step technique for repair of defects of more than 2/3 of the lower lip was superior, in terms of aesthetic and functional outcome, compared with Bernard Webster-related techniques (cheek advancement). Herewith, a double cross-lip flap (Stein procedure) is proposed for repair of subtotal lower lip defect...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
world journal of plastic surgery

جلد ۱، شماره ۱، صفحات ۳-۱۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023