BACKGROUND Upper lip defects less than one-fourth of total upper lip length are typically closed directly, but larger defects require reconstruction. Established techniques, such as the Abbe/Estlander flap, often require multiple procedures. This report discusses a single-step method, involving a skin-mucosa double opposing V-Y advancement flap, which was utilized to reconstruct the upper lip a...

The reconstruction of facial parts after traumatic amputation is of special interest because of the psychological and functional implications such accidents have on the patient. Most amputations result from dog bites or knife wounds and are often sustained by children and young adults. The amputated part may be an anatomic structure of functional importance (e.g. , the lips) or a static structu...

Resection of buccal mucosa tumors may occasionally involve the labial angle and peripheral skin. Reconstruction is required when the resection involves more than one-third of the lip. We describe a single-stage reconstruction using a facial artery musculomucosal (FAMM) flap and a vermilion advancement flap after buccal mucosa resection including the labial angle. A 62-year-old woman with carcin...

Squamous cell carcinoma (SCC) of the lower lip is a frequently diagnosed malignant pathology in the maxillofacial region. It is a slow-growing cancer, and can be diagnosed and treated easily and effectively; however, early treatment is important because its mortality rate is 10% 30%. Reconstruction for a large lower lip defect is surgically challenging, especially reconstruction with local flap...

We recently repaired a modified extended Karapandzic flaps to reconstruct total or near total lower lip defects. The lower lip reconstructed by this method has good appearance and this method is easy to be master.

Department of Plastic Surgery, Medical College, Calicut, India Address for correspondence: Sheeja Rajan TM. C/o Dr. M.C Rajesh, House No.321/33/5352, Near Express Ghar Flats, Chevayur, Calicut, Kerala, India. E-mail: [email protected] Aim: To evaluate the fan flaps done during the past two years with regard to applicability, reliability, functional perspective and complications. Materials and Me...

BACKGROUND This article reports on the bilateral lip mucosa flaps (BLMFs) for reconstruction of the vermilion tubercle of the corrected cleft lip deformity. METHODS From 2005 to 2013, the bilateral mucosa flaps procedures were performed on 34 secondary cleft lip patients (bilateral, n = 25; unilateral, n = 9). We retrospectively reviewed the pre-, intra-, and postoperative data of these 34 ca...

BACKGROUND Various methods for primary repair of bilateral cleft lip have been developed, but they often produce inadequate results, such as an upturned nose or a short columella. We perform primary lip repair with muscle reconstruction to correct depression of the nasal floor and inferoposterior displacement of the alar base. Then, open rhinoplasty to project the nasal tip is performed during ...

FIGURE ]., Decision tree for management of lower lip defects. "Alternative is Karapandzic flap if the cross-lip flaps are not available for any reason. "wet" portion of the lip is well supplied with mucous and minor salivary glands. The red color is due to the rich blood supply to the region. A thin pale junctional zone of skin (sometimes known as the "white line") demarcates the junction betwe...

UNLABELLED Oral incompetence following composite reconstruction of total and subtotal lower lip defects without any functioning lower lip muscle is a difficult problem for reconstructive surgeons. The authors retrospectively reviewed the use of a novel bilateral temporalis suspension technique for oral incompetence following lower lip reconstruction over a 10-year period. The timing of the reco...