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DOI: 10.5999/aps.2012.39.3.244
Combined Rotation and Advancement Flap Reconstruction for a Defect of the Upper Lip: 2 Cases
Many types of upper lip reconstruction have been introduced to treat defects after a tumor excision or trauma. The authors treated two cases of upper lip defects. A 35-year-old woman presented with a squamous cell carcinoma of the left upper lip that had invaded the corner of the mouth. After resecting the tumor, the defect was 3.7×3.5 cm in size. A 52-year-old woman presented with a dog bite of the right upper lip. The defect measured 4.0×2.2 cm in size. The two cases were reconstructed by combined rotation and advancement of a cheek flap. This technique produced a good functional outcome that allowed for oral competence and created an opening of adequate size. A combination of rotation and an advancement flap can be used to treat upper lip defects in a single-stage procedure. This approach produces a good functional and cosmetic outcome.
This study was presented at the 68th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 4-7, 2010 in Seoul, Korea.
Publication History
Received: 07 February 2012
Accepted: 30 March 2012
Article published online:
01 May 2022
© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Yu JM. A new method for reconstruction of the lower lip after tumor resection. Eur J Plast Surg 1989; 12: 155-159
- 2 Belmonte-Caro R, Infante-Cossio P, Garcia-Perla-Garcia A. et al. Reverse Yus flap for upper lip reconstruction. J Plast Reconstr Aesthet Surg 2010; 63: e148-e150
- 3 Abbe R. A new plastic operation for the relief of deformity due to double harelip. Plast Reconstr Surg 1968; 42: 481-483
- 4 Karapandzic M. Reconstruction of lip defects by local arterial flaps. Br J Plast Surg 1974; 27: 93-97
- 5 Kim JC, Hadlock T, Varvares MA. et al. Hair-bearing temporoparietal fascial flap reconstruction of upper lip and scalp defects. Arch Facial Plast Surg 2001; 3: 170-177
- 6 Closmann JJ, Pogrel MA, Schmidt BL. Reconstruction of perioral defects following resection for oral squamous cell carcinoma. J Oral Maxillofac Surg 2006; 64: 367-374
- 7 Daya M, Nair V. Free radial forearm flap lip reconstruction: a clinical series and case reports of technical refinements. Ann Plast Surg 2009; 62: 361-367
- 8 Oh SJ, Chung CH. Upper-lip reconstruction using a free dorsalis pedis flap incorporating the extensor hallucis and digitorum brevis muscles. J Craniofac Surg 2011; 22: 998-999
- 9 Czerninski R, Zini A, Sgan-Cohen HD. Lip cancer: incidence, trends, histology and survival: 1970-2006. Br J Dermatol 2010; 162: 1103-1109
- 10 Fries R. Advantages of a basic concept in lip reconstruction after tumour resection. J Maxillofac Surg 1973; 1: 13-18
- 11 Unsal Tuna EE, Oksuzler O, Ozbek C. et al. Functional and aesthetic results obtained by modified Bernard reconstruction technique after tumour excision in lower lip cancers. J Plast Reconstr Aesthet Surg 2010; 63: 981-987