VERMILION MYOMUCOSAL FLAP FOR LIP TUMORS
Keywords:
Lip, Surgical flaps, Reconstructive surgical proceduresAbstract
Introduction: Several techniques are described for lip reconstruction, often producing microstomia, commissure distortion, functional disability or decreased sensitivity. We report a technique with preservation of neuromuscular tissue for lip reconstruction in a single stage, through the use of a myomucosal advancement flap of the vermilion, with or without a mentolabial skin flap. Methods: We analyzed 2 male and 1 female patients, with skin tumor, ranging from 57 years to 79 years, post-resection labral defects from 20% to 85%. Results: There was no infection, nerve injury or need for surgical revision. None had microstomia. All had good sensitivity and adequate sphincter continence. Conclusions: Vermilion myomucosal flap with or without mentolabial skin flap resulted in minimal risk of microstomia or functional incompetence, performed in a single stage. It demonstrates good aesthetic and functional results for defects of up to 80% of the lip.
References
Oliveira MP, Martins PDE, Cunha GL, Alvarez GS, Gazzalle A, Siqueira EJ. Uso do retalho miomucoso do vermelhão associado ou não ao retalho cutâneo mentolabial na reconstrução do lábio inferior. Rev. Bras. Cir. Plást.2011;26(3):433-8
Siqueira JE, et al. Estratégias em reconstrução do lábio inferior. Revista Brasileira de Cirurgia Plástica. 2012, v. 27, n. 4, pp. 536-41. Disponível em: <https://doi.org/10.1590/S1983-51752012000400011>
Larrabee YC, Moyer JS. Reconstruction of Mohs Defects of the Lips and Chin. Facial Plast Surg Clin North Am. 2017 Aug;25(3):427-42. doi: 10.1016/j.fsc.2017.03.012. PMID: 28676167.
Boukovalas S, Boson AL, Hays JP, Malone CH, Cole EL, Wagner RF. A Systematic Review of Lower Lip Anatomy, Mechanics of Local Flaps, and Special Considerations for Lower Lip Reconstruction. J Drugs Dermatol. 2017 Dec 1;16(12):1254-61. PMID: 29240861.
Mutaf M, Bulut O, Sunay M, Can A. Bilateral musculocutaneous une- qual-Z procedure: a new technique for reconstruction of total lower-lip defects. Ann Plast Surg. 2008;60(2):162-8
Bailey BJ, Calhoun KH, Friedman N. Atlas of head & neck surgery: otolaryngology. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2001
Breitsprecher L, Fanghänel J, Metelmann HR, Mlynski G, Würfel F, Freise K, et al. The influence of the muscles of facial expression on the development of the midface and the nose in cleft lip and palate patients. A reflection of functional anatomy, facial esthetics and physiology of the nose. Ann Anat. 1999;181(1):19-25.
Ebrahimi A, Kalantar Motamedi MH, Ebrahimi A, Kazemi M, Shams A, Hashemzadeh H. Lip Reconstruction after Tumor Ablation. World J Plast Surg. 2016 Jan;5(1):15-25. PMID: 27308236; PMCID: PMC4904134.
Coombs DM, Bourne DA, Egro FM, Solari MG. Reconstructing Defects of the Lower Lip: An Emphasis on the Estlander Flap. Eplasty. 2016 Dec 24;16:ic50. PMID: 28090242; PMCID: PMC5193126.
Ducic Y, Athre R, Cochran CS. The split orbicularis myomucosal flap for lower lip reconstruction. Arch facial Plast Surg Off Publ Am Acad Facial Plast Reconstr Surgery, Inc Int Fed Facial Plast Surg Soc. 2015;7(5):347-52. doi:10.1001/archfaci.7.5.347.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Arquivos Catarinenses de Medicina
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
