Wing flap reconstruction for large defects of the lower lip

被引:4
作者
Uchikawa, Yumiko [2 ]
Yazawa, Masaki [1 ]
Takayama, Masayoshi [1 ]
Kishi, Kazuo [1 ]
机构
[1] Keio Univ, Sch Med, Dept Plast & Reconstruct Surg, Shinjyuku Ku, Tokyo, Japan
[2] Natl Publ Serv Personnel Mutual Aid Assoc Tachika, Dept Plast & Reconstruct Surg, Tachikawa, Tokyo, Japan
关键词
Mental nerve; Lower lip defect; V-Y advancement flap; Reconstruction; ADVANCEMENT FLAP;
D O I
10.1016/j.bjps.2012.04.011
中图分类号
R61 [外科手术学];
学科分类号
摘要
Full-thickness lower lip defects most often occur due to tumour resection or injury. Because the lower lip is important for both eating and speaking, reconstruction of the region must restore the structure and function of the tissue. Here, we describe a new procedure to reconstruct the lower lip, using a 'wing flap': a mental V-Y rotational advancement flap that contains the mental nerve. This flap can preserve the sensory innervation of the lower lip, and it allows effective reconstruction of the muscle sling. We have employed this method twice and have obtained good aesthetic and functional outcomes. No special technique is required to reconstruct the lip using this flap, and it yields a satisfactory outcome. Thus, we recommend it as an effective method for reconstruction in wide lower lip defects. (c) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:1725 / 1728
页数:4
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