A New Modification of Fan Flap for Large Lower Lip Defects

Demirdöver, Cenk; Vayvada, Haluk; Öztürk, Fatih Alp; Yazgan, Hasip Şamil; Karaça, Can

doi:10.1177/1457496918798211

Cited by 4 publications

(6 citation statements)

References 21 publications

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“…The lip is a complex, multilayered anatomical structure that participates in several basic human functions, such as speech, mastication, drinking, and oral competence 2,5,7 . Limited defects can be reconstructed with a rearrangement of the surrounding tissue using transposition flaps (lip switch, 20 nasolabial, 21,22 bilobed platysma flap 23 ), advancement/rotation flaps (Yu, 24 Bernard-Webster, 25 Karapandzic, 26 Gillies 27 ) or a combination of flaps 28–31 . These local flaps produce the best functional and aesthetic results because they replace “like-with-like” tissue.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Reconstruction of Extensive Lower Lip Defects

Ribeiro

Peng²,

Cheong

et al. 2023

Ann Plast Surg

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Background: Large defects of the lower lip pose a difficult challenge for any reconstructive surgeon. When there is limited local tissue available to resurface the defects, free flaps are the preferred option. Aim and Objectives: We reported our experience in the reconstruction of extensive lower lip defects. The authors propose a new algorithm for microsurgical technique selection and assessment of the functional outcomes obtained. Materials and Methods: A retrospective review of all microsurgical reconstructions of extensive lower lip defects by the senior author for 10 years was performed. The functional outcomes assessed included speech, feeding, and oral continence. Patients were stratified according to their status of simultaneous mandible resection (none, marginal, segmental).Results: Fifty-one patients were included in this study. Almost all patients (96.1%) achieved intelligible speech. Only 1 patient experienced severe drooling. Most patients could eat a solid or soft diet (72.5%). Mandible resection was associated with the worst feeding outcomes.Conclusions: Microsurgical reconstruction of extensive lip defects is safe and provides good results. Free flap selection should take into account the location of the defect, the resected structures, and the body mass index of the patient. Feeding status seems to be inversely correlated with the amount of mandibular resection.

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Section: Discussionmentioning

confidence: 99%

Microsurgical Reconstruction of Extensive Lower Lip Defects

Ribeiro

Peng²,

Cheong

et al. 2023

Ann Plast Surg

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“…9,20,21 They are integrated by 3 layers: mucosa, muscle, and skin. 4,9,12,15 The musculature of the lips is a complex structure, and it is made up by the orbicularis oris muscle plus a dozen paired muscles with lift, depression, and sphincter functions. The modiolus is a fibrous structure anchored to the deep layers of the skin in the corner of the mouth, serving as an insert region for some perioral muscles.…”

Section: Anatomymentioning

confidence: 99%

“…They are integrated by 3 layers: mucosa, muscle, and skin 4,9,12,15 . The musculature of the lips is a complex structure, and it is made up by the orbicularis oris muscle plus a dozen paired muscles with lift, depression, and sphincter functions.…”

Section: Anatomymentioning

confidence: 99%

“…[4][5][6][7][8] The goals of treatment are to restore normal lip anatomy, as well as oral movement and competence (maintaining maximum oral opening and sensitivity), to provide skin and mucosa coverage, to preserve lip dimension and prevent dental exposure allowing the use of dental prostheses, and, finally, to offer optimal aesthetic results always aiming for minimal sequelae. [9][10][11][12][13][14][15] To achieve those goals, a proper evaluation of the defect is mandatory; this evaluation must include size, location, depth, impaired function, and which anatomical subunits are involved. 9,16 Any lip reconstruction requires proper anatomy knowledge.…”

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confidence: 99%

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Functional and Aesthetic Lower Lip Reconstruction Using the Yotsuyanagy Flap

2021

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Lower lip defects are a major challenge from a reconstructive perspective. The lower lip is an anatomical region formed by different types of tissue, and it is essential to obtain adequate functional and aesthetic results. When local tissue is available to be a donor area, it becomes the best option to repair the defect. This article's purpose is to present our experience in reconstruction of partial or transfixing total defects of the lower lip with the musculocutaneous flap of the depressor anguli oris described by Yotsuyanagi.

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“…Although numerous flap designs and modifications have been described, only a few flap concepts and techniques provide reliable and consistent results. [8][9][10][11][12][13][14][15] Transoral crosslip flaps such as the Abbé 9 and Estlander 10 flaps are occasionally suitable for broader lower lip defects. Advantages of these flaps include the transfer of similar tissue and the frequent preservation of lip function.…”

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confidence: 99%

Reconstruction of Broad Lower Lip Defects Using Karapandzic-Type Flaps

Patel,

Cook

2024

Dermatol Surg

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BACKGROUND Reconstruction of lower lip defects is challenging because of the functional and aesthetic demands of the lower face. We review the functional and aesthetic outcomes of the Karapandzic-type flaps for reconstructing lower lip defects. METHODS A retrospective review of patients who underwent repair using Karapandzic-type flaps. RESULTS Fifty patients with lower lip defects ranging from 20% to 95% (mean 59.2% ± 20%) were included. Eighteen patients (36%) were repaired using a bilateral flap, and 32 (64%) were reconstructed using a unilateral flap design. All patients had preservation of oral competency and a satisfactory aesthetic result. No patient complained of microstomia. A complication rate of 8% was noted (n = 4) with postoperative wound infection and small areas of dehiscence. There was no statistically significant difference in complication rates in patients older than 75 years, in patients with a history of head/neck radiation, or in defects greater than 70% of lower lip breadth. CONCLUSION Karapandzic-type flaps are versatile and reliable for the reconstruction of a broad range of lower lip defects. This one-stage procedure can produce superior functional and aesthetic results as compared with other local and distant flaps with minimal risk of functional microstomia.

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A New Modification of Fan Flap for Large Lower Lip Defects

Abstract: We believe that the unilateral extended fan flap is a reliable and safe option with satisfactory functional and aesthetic results for total and near-total (more than 80%) lower lip defects.

Cited by 4 publications

References 21 publications

Microsurgical Reconstruction of Extensive Lower Lip Defects

Microsurgical Reconstruction of Extensive Lower Lip Defects

Functional and Aesthetic Lower Lip Reconstruction Using the Yotsuyanagy Flap

Reconstruction of Broad Lower Lip Defects Using Karapandzic-Type Flaps

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