Modification of McGregor fan flap for reconstruction of full thickness defect of lower lip and vermilion

Saraiya, Hemant

doi:10.1016/j.bjps.2011.05.010

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…This may be because the donor site scars hidden in the facial grooves were well concealed. This explanation was also supported by some studies reporting that McGregor's flaps are superior in terms of cosmesis 23,24 …”

Section: Discussionmentioning

confidence: 68%

“…This explanation was also supported by some studies reporting that McGregor's flaps are superior in terms of cosmesis. 23,24 T A B L E 3 Surgeon and patient scar assessment 6 months after surgery (independent samples test) We believe that combined techniques of our modified McGregor flap and advanced innervated flaps such as Schuchardt 25 or Johanson 26 flaps should be considered a promising option for one-stage reconstruction of lower lip defects of 75%-80% and obtain favorable aesthetic and functional lower lip reconstruction (Figure 5).…”

Section: Discussionmentioning

confidence: 99%

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Lower lip reconstruction using McGregor fan technique with or without depressor anguli oris chimeric flap. Is there a difference in function and aesthetic outcomes?

et al. 2023

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Background Lower lip reconstruction aims to maintain facial subunit function and aesthetics. We present a minor modification of the McGregor flap technique, in which depressor anguli oris (DAO) muscle is separately elevated as a chimeric flap together to investigate the outcomes for reconstructing lower lip defects using various functional parameters. Methods The study included patients who underwent surgical repair of lower lip defects using a McGregor fan flap with or without DAO muscle chimeric flap between January 2018 and May 2021. The patients were divided into our modified technique with DAO chimeric flap (study group) and conventional McGregor (control group). The primary outcomes were functional evaluation of oral competency, speech intelligibility, and tactile sensation of reconstructed lip outcomes. The functional satisfaction and Patient and Observer Scar Assessment Scale (POSAS) were analyzed. Results A total of 20 patients were enrolled (10 patients for each group). Excellent oral competence was present in 12 patients, favorably significant in patients with DAO chimeric flap (n = 8/10, p = 0.018). All patients had intelligible speech with insignificant differences between the two groups. No patients demonstrated differences to light touch from baseline sensation at 1 year. Patients in the study group reported more lip function satisfaction (p = 0.049). The POSAS score indicates satisfaction with the appearance of all patients. Conclusion McGregor fan technique combined with DAO muscle chimeric flap offers a good choice by maintaining sensory and motor functions. Our minor modification can ensure the integrity of the oral sphincter, leading to improved lower lip function.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Lower lip reconstruction using McGregor fan technique with or without depressor anguli oris chimeric flap. Is there a difference in function and aesthetic outcomes?

et al. 2023

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“…Most pedicle and free flaps are complex flaps. Fasciocutaneous flaps (complex flaps) include the deltopectoral (Bakam jian), deltopectoral with an osseous component (usually a rib) (Conley), and temporofrontal (McGregor) flaps (22)(23)(24)(25).…”

Section: Reconstruction With Flapsmentioning

confidence: 99%

Postsurgical Imaging of the Oral Cavity and Oropharynx: What Radiologists Need to Know

García¹,

Passos²,

Ezzedine³

et al. 2015

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The oral cavity and oropharynx are common locations of neoplastic lesions; neoplasms at these sites are often treated with surgery. The goal of this surgical treatment is to achieve tumor control while preserving, whenever possible, the function of local structures. The procedure used depends largely on the location and extension of the tumor and the disease stage. Follow-up evaluation of patients is done with computed tomography (CT) and magnetic resonance (MR) imaging. The ability to interpret characteristic features at CT and MR imaging is particularly important because normal anatomic structures are altered in specific patterns according to the distinct surgical technique applied. Anatomic changes resulting from the most commonly performed procedures (eg, glossectomy, pelvectomy, and mandibulectomy) will be presented with CT and MR images, multiplanar reconstructions, and schematic illustrations. Understanding of postsurgical CT and MR imaging findings is important to avoid misinterpretation and confusion. Familiarity with the typical postsurgical imaging appearance of the oral cavity and oropharynx is crucial for differentiating normal postsurgical changes from persistent or recurrent disease and for diagnosis of associated second primary malignancies. Knowledge of postsurgical findings is essential for analysis of the oral cavity and oropharynx and allows early diagnosis of tumor recurrence or typical complications after surgical reconstruction.

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“…The rotation of the medial cheek flaps causes a distortion of the anatomy of the commissures. Distortion of the commissures may be restored using a commissurotomy, if necessary (24). Classical fan flaps may also cause distortion of the orbicularis oris muscular fibers because the orbicularis is not completely dissected and advanced but rather is pulled with pedicle.…”

Section: Discussionmentioning

confidence: 99%

A New Modification of Fan Flap for Large Lower Lip Defects

et al. 2018

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Modification of McGregor fan flap for reconstruction of full thickness defect of lower lip and vermilion

Cited by 7 publications

References 3 publications

Lower lip reconstruction using McGregor fan technique with or without depressor anguli oris chimeric flap. Is there a difference in function and aesthetic outcomes?

Lower lip reconstruction using McGregor fan technique with or without depressor anguli oris chimeric flap. Is there a difference in function and aesthetic outcomes?

Postsurgical Imaging of the Oral Cavity and Oropharynx: What Radiologists Need to Know

A New Modification of Fan Flap for Large Lower Lip Defects

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