Functional reconstruction of total lower lip defect with mental neurovascular V-Y advancement island flap..
- Author:
De-hao SHANG
1
;
Shu-fen GE
;
Chang-fu SUN
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Carcinoma, Squamous Cell; surgery; Carcinoma, Verrucous; surgery; Female; Follow-Up Studies; Humans; Lip; injuries; surgery; Lip Neoplasms; surgery; Male; Middle Aged; Reconstructive Surgical Procedures; methods; Surgical Flaps
- From: Chinese Journal of Stomatology 2010;45(1):26-27
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo introduce a method of functional reconstruction for total lower lip defects.
METHODSSix 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.
RESULTSAll 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.
CONCLUSIONSThe technique of mental neurovascular V-Y advancement island flap can get satisfactory results in both functional and the aesthetic perspects.
