Orbicular oris muscle flap wrapped by acellular dermis for the treatment of upper lip atrophy in children.

Author: Wei-Min SHEN ¹ ; Jie CUI ; Jian-Bing CHEN ; Hai-Ni CHEN ; Ji-Jun ZOU ; Yi JI
Author Information

1. Nanjing Children's Hospital Affiliate to Nanjing Medical University, Nanjing 210008, China.
Publication Type:Journal Article
MeSH: Acellular Dermis; Atrophy; surgery; Child; Female; Humans; Lip Diseases; surgery; Male; Mouth Mucosa; transplantation; Reconstructive Surgical Procedures; methods; Skin Transplantation; methods; Surgical Flaps
From: Chinese Journal of Plastic Surgery 2013;29(4):241-243
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo investigate the treatment of upper lip atrophy resulted by previous therapy.
METHODSFrom Mar. 2008 to Mar. 2012, 4 cases with upper lip atrophy resulted by radiotherapy and sclerosing agent injection were treated with lower orbicularis oris muscle flap wrapped by acellular dermis. The thickness and height of upper lip were increased to improve the lip atrophy.
RESULTSPrimary wound healing was achieved in all the 4 cases. All the patients were followed up for 3 years with obvious improvement and inconspicuous scar.
CONCLUSIONThe volume of lower lip in children is not sufficient as donor site. The lower orbicularis oris muscle flap wrapped by acellular dermis can effectively improve the lip thickness and vermilion portion of upper lip.