Bilateral Transposition Lip Flaps

Jacono, Andrew A.; Bassiri, Mike; Talei, Ben

doi:10.1001/jamafacial.2015.18

Cited by 8 publications

(4 citation statements)

References 13 publications

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“…This technique avoided the 2-stage surgery while ensuring cosmetic appearance as well as functional restoration of the lip. 20 Robinson et al 4 designed a frogger flap, which reliably reconstructed central upper lip defects while preserving satisfactory function and aesthetics.…”

Section: Discussionmentioning

confidence: 99%

“…Jacono and colleagues discussed a novel technique, the bilateral transposition flap, which allowed for a single-stage reconstruction of central lip defects, including Cupid’s bow and philtrum. This technique avoided the 2-stage surgery while ensuring cosmetic appearance as well as functional restoration of the lip 20. Robinson et al4 designed a frogger flap, which reliably reconstructed central upper lip defects while preserving satisfactory function and aesthetics.…”

Section: Discussionmentioning

confidence: 99%

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Buccal Myomucosal Flap for Reconstruction of Red Lip Defects Close to Mouth Angle

Gao

Yang

et al. 2022

Journal of Craniofacial Surgery

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Background: Owing to the special esthetic and functional role in the face, red lip reconstruction presents a challenge to plastic surgeons. Various reconstructive techniques can be employed to fix the red lip defects close to the mouth angle. The purpose of this study was to demonstrate that the buccal myomucosal flap could be an available option to repair red lip defects with preservation of its esthetics and function. Methods: A single-center, retrospective study of 7 patients with red lip defects who were treated with buccal myomucosal flap was conducted between June 2017 and March 2022. All patients were followed up for at least 6 months including questionnaires and photography. Results: Of these 7 patients, 2 were women, and 5 were men. The average age was 14.3 years (range, 1–32 y). All the buccal myomucosal flaps survived well. All the donor sites were closed directly without complications. The average follow-up time was 33.4 months (range, 6–57 mo). All patients were satisfied with the aesthetic and functional results. Conclusion: The buccal myomucosal flap is versatile and reliable, with the advantages of rich vascularity, flexible design, and easy access. This study was presented to highlight that the flap could be a good candidate to treat red lip defects close to the mouth angle.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Buccal Myomucosal Flap for Reconstruction of Red Lip Defects Close to Mouth Angle

Gao

Yang

et al. 2022

Journal of Craniofacial Surgery

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“…3,4 Alternative reconstructive options include wedge excision, local advancement flaps (including O-Z and V-Y flaps), rhomboid/transposition flaps and the Abbe flap. [3][4][5][6][7][8][9] Wedge excision and local advancement flaps quickly distort facial symmetry when applied to defects with both vermillion and cutaneous components. 5 The Abbe flap is an option but requires tissue harvest and complete denervation of a central lower lip segment, creating another potential site of aesthetic distortion and wound healing.…”

Section: Ideas and Innovationsmentioning

confidence: 99%

The “Frogger Flap”: A Novel Quadruple Rhomboid Flap for Complex Central Upper Lip Reconstruction

Robinson¹,

Elhage²,

Marturano³

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Upper lip reconstruction represents a unique challenge for the reconstructive plastic surgeon. Given its prominent aesthetic role in addition to its functional role in facial expression, speech, and oral intake, preservation of this region’s natural form and function is paramount. In this report, we present a novel technique for the reconstruction of a complex central upper lip defect, restoring the natural aesthetic of this essential structure. We describe the case of a 51-year-old woman who presented with recurrence of a previously resected basal cell carcinoma center on the upper lip at the level of the white roll and philtral depression. Following surgical resection via Mohs micrographic surgery, a 1.8 × 1.6 cm partial-thickness defect centered around the Cupid bow involving both cutaneous and vermillion tissues remained. Reconstruction was achieved through a novel quadruple rhomboid flap primarily based on the preservation of the aesthetic subunits of the upper lip. A functional and aesthetic reconstruction was achieved through local tissue rearrangement, restoring the appearance of the white roll and red line. Native perfusion and innervation were preserved during the reconstruction of the Cupid bow, recreating this region’s natural appearance. The design of the flap resembles a jumping frog, which is the etiology of the “Frogger flap” moniker. The Frogger flap recreates the natural aesthetic of the central upper lip through the geometric transposition of tissue commensurate with native anatomy. Through the application of aesthetic subunit principles, it reliably reconstructs central upper lip defects while preserving function and providing an aesthetically pleasing outcome.

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“…In our case, it was felt that the defect was too large for repair with bilateral transposition flaps or double island pedicle flaps as described previously. 1,2 The surgical defect was also considered to be too large in the horizontal direction to consider a linear closure, wedge resection, or O-to-T or Oto-L type advancement flaps. There was concern that second intention healing or a skin graft would have led to excessive scarring and loss of anatomic landmarks, given the size of the defect and the age of the patient.…”

mentioning

confidence: 99%

A Large Surgical Defect of the Central Upper Lip

Olander

Brown

2020

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Bilateral Transposition Lip Flaps

Cited by 8 publications

References 13 publications

Buccal Myomucosal Flap for Reconstruction of Red Lip Defects Close to Mouth Angle

Buccal Myomucosal Flap for Reconstruction of Red Lip Defects Close to Mouth Angle

The “Frogger Flap”: A Novel Quadruple Rhomboid Flap for Complex Central Upper Lip Reconstruction

A Large Surgical Defect of the Central Upper Lip

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