VERMILION MYOMUCOSAL FLAP FOR LIP TUMORS

Authors

  • Guilherme Augusto Hettwer Serviço de Cirurgia Plástica do Hospital São Lucas
  • Ricardo Kunz Serviço de Cirurgia Plástica do Hospital São Lucas
  • Guilherme Pereira Smaniotto Serviço de Cirurgia Plástica do Hospital São Lucas
  • Adriano Calcagnotto Garcia Serviço de Cirurgia Plástica do Hospital São Lucas
  • Lucas Pastori Steffen Serviço de Cirurgia Plástica do Hospital São Lucas
  • Milton Paulo de Oliveira Serviço de Cirurgia Plástica do Hospital São Lucas

Keywords:

Lip, Surgical flaps, Reconstructive surgical procedures

Abstract

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.

 

Author Biographies

  • Guilherme Augusto Hettwer, Serviço de Cirurgia Plástica do Hospital São Lucas

    Residente do Serviço de Cirurgia Plástica do Hospital São Lucas da PUC-RS 

  • Ricardo Kunz, Serviço de Cirurgia Plástica do Hospital São Lucas

    Residente do Serviço de Cirurgia Plástica do Hospital São Lucas da PUC-RS .

  • Guilherme Pereira Smaniotto, Serviço de Cirurgia Plástica do Hospital São Lucas

    Residente do Serviço de Cirurgia Plástica do Hospital São Lucas da PUC-RS.

  • Adriano Calcagnotto Garcia, Serviço de Cirurgia Plástica do Hospital São Lucas

    Residente do Serviço de Cirurgia Plástica do Hospital São Lucas da PUC-RS .

  • Lucas Pastori Steffen, Serviço de Cirurgia Plástica do Hospital São Lucas

    Residente do Serviço de Cirurgia Plástica do Hospital São Lucas da PUC-RS.

  • Milton Paulo de Oliveira, Serviço de Cirurgia Plástica do Hospital São Lucas

    Chefe do Serviço de Cirurgia Plástica do Hospital São Lucas da PUC-RS.

References

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Published

2022-04-28

How to Cite

VERMILION MYOMUCOSAL FLAP FOR LIP TUMORS. (2022). Arquivos Catarinenses De Medicina, 51(1), 254-261. https://revista.acm.org.br/arquivos/article/view/1238

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