Functional reconstruction of total lower lip defect with mental neurovascular V-Y advancement island flap

VernacularTitle:颏部岛状组织瓣功能性修复全下唇缺损的临床观察
Author: De-Hao SHANG ¹ ; Shu-Fen GE ; Chang-Fu SUN
Author Information

1. 中国医科大学口腔医学院
Keywords: Lip neoplasms; Surgical flaps; Reconstructive surgical procedures
From: Chinese Journal of Stomatology 2010;45(1):26-27
CountryChina
Language:Chinese
Abstract: Objective To introduce a method of functional reconstruction for total lower lip defects.Methods Six patients with lower lip cancer were treated by surgery from November 2007 to February 2009.The full thickness defects with a size from eighty percent to total lower lip were reconstructed with two triangular mental neurovascular island flaps of chin.The musculocutaneous and mucous flaps with neurovascular pedicles were advanced in a V-Y manner to close the defect and reconstruct the orbicularis oris muscle.Results All flaps survived and no recurrence and complication were observed and showed excellent cosmetic and functional results over 6 months of follow-up.The reconstructed lower lips provided a wide-enough mouth opening,and the sensation of oral mucosa and the muscle function of oral sphincter were preserved.Conclusions The technique of mental neurovascular V-Y advancement island flap can get satisfactory results in both functional and the aesthetic perspects.