Lower lip reconstruction with local neuromusculocutaneous advancement flap

Turgut, Gürsel; Özkaya, Ozan; Kayali, Mahmut Ulvi; Tatlıdede, Soner; Hüthüt, İlkay; Baş, Lütfü

doi:10.1016/j.bjps.2007.12.086

Cited by 20 publications

(5 citation statements)

References 18 publications

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“…The cosmetic aims of lip reconstruction include restoring labial symmetry at rest and when animated. However, oral competence and lip function, rather than cosmetic factors, are the key determinants of successful lip reconstruction [5][6][7][8].…”

Section: Discussionmentioning

confidence: 99%

Extended Estlander flap for repairing a large upper lip defect involving the oral commissure

Lee

Park

Yeo

et al. 2020

Arch Aesthetic Plast Surg

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Various methods for reconstructing partial upper lip defects have been reported, some of which, such as the Abbe and Estlander flaps, involve using the lower lip. However, determining the appropriate reconstruction method for large upper lip and oral commissure defects is particularly difficult because of the need to preserve the function and sensory ability of the lips and oral sphincter while achieving a satisfactory appearance. We describe our successful experience of using an extended Estlander flap to reconstruct a large defect caused by the excision of basal cell carcinoma on the upper lip and oral commissure.

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Section: Discussionmentioning

confidence: 99%

Extended Estlander flap for repairing a large upper lip defect involving the oral commissure

Lee

Park

Yeo

et al. 2020

Arch Aesthetic Plast Surg

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“…The main 4 goals of adequate oral function are, oral competence, muscle function, lip sensation, and oral gape. 12 The cosmetic objectives of lip reconstruction include restoring labial symmetry, adequate oral opening and avoid poor scarring. 13 While cosmetic objectives are key, it is important to remember that no matter how good a lip reconstruction looks, lip function and oral competence are the key determinants of a successful reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Versatility of the estlander flap: upper lip, lower lip and comissure reconstruction due to a dog bite

et al. 2019

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Background: Dog bites continue to be a frequent cause for plastic and reconstructive services in the world. The grand majority of these cases affect the head and neck area; and more often than not they involve the commissure and the lips. The latter leading to an increased level of difficulty and a substantial decrease on the posibilities for a successful reconstruction. This case report focuses on the exploration of the Abbe-Estlander flap as an efficient alternative in most of these cases.Methods: We present two clinical cases involving dog bites where the affected area of both patients was estimated to be one third of the total volume of the lip. Both patients required emergency reconstructive surgery. An Estlander flap was successfully performed in both instances. The purpose of the article is to share the results and motivate the medical community to continue to use this method as a strong avenue for an effective recovery.Results: After two months of the surgery, the team followed up with both patients and they were satisfied with the results. Patient A presented adequate healing of the wound; a lack of alignment of the mucocutaneous rim and rounding of the commissure was observed. Phonation, oral continence without any leakage and complete closure of the lip were also part of the recovery assessment. Patient B presented adequate healing of the wound, phonation and medium oral continence with occasional leakage of liquids and incomplete closure.Conclusions: The Abbe-Estlander flap is still an excellent reconstructive alternative for upper and lower lip reconstruction where the affected area is up to one third of the total volume. As long as the commissure involvement represents minimum difficulty, both aesthetic and functional objectives can be successfully attained using this flap.

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“…For lip lesions covering more than twothirds of the lip, an Abbe flap combined with the step technique gives better results. Turgut et al [13] studied 18 patients with defects of the lower lip and applied a neuromusculocutaneous local advancement flap to close the patients' lip defects. Lip sensation and the orbicularis muscle function were preserved in these patients and satisfying aesthetic results were obtained.…”

Section: Discussionmentioning

confidence: 99%

Fujimori gate flap: an old flap for reconstruction of lower lip defects due to lower lip carcinoma resection

Sarı

Ozakpinar²,

Inozu³

et al. 2014

Kulak Burun Bogaz Ihtis Derg

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Lower lip reconstruction with local neuromusculocutaneous advancement flap

Cited by 20 publications

References 18 publications

Extended Estlander flap for repairing a large upper lip defect involving the oral commissure

Extended Estlander flap for repairing a large upper lip defect involving the oral commissure

Versatility of the estlander flap: upper lip, lower lip and comissure reconstruction due to a dog bite

Fujimori gate flap: an old flap for reconstruction of lower lip defects due to lower lip carcinoma resection

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