Reconstruction of acquired lip defects: Ten-year experience at a tertiary care center

Dadhich, Anuj; Shah, Seemit; Kumar, Nilesh; Saluja, Harish; Girhe, Vijaykuamar; Agarwal, Sumit; Mishra, Madan

doi:10.1016/j.jobcr.2020.09.007

Cited by 5 publications

(24 citation statements)

References 15 publications

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“…Lip defects can be classified into two categories, being congenital or acquired. Congenital defects can be secondary to deformities such as cleft lip or harmatomas, while the acquired defect is related to tumor excision or traumatic episodes 1,4 . These defects can also be partial thickness, which involves mucosa or skin, or full thickness, which involves skin, muscle and mucosa .…”

Section: Reconstruction Of Lower Lip Avulsion Due To a Human Bite: A ...mentioning

confidence: 99%

“…These defects can also be partial thickness, which involves mucosa or skin, or full thickness, which involves skin, muscle and mucosa . 1 Another classification refers to the type of flap, which can be associated with the vascular pattern, composition, and transfer mechanism. The vascular pattern, which refers to the form of arterial nutrition, can be: a) randomized flap, in which there is no main axis of vascularization; b) axial flap, in which there is a main artery known as the source of irrigation, and can also be subclassified into peninsular (base with skin) and island (base without skin) or c) free flap, in which the vascular bundle is microsurgical, being anastomosed in a receptor vascular bundle.…”

Section: Reconstruction Of Lower Lip Avulsion Due To a Human Bite: A ...mentioning

confidence: 99%

“…The lower lip has a single subunit, whereas the upper lip consists of lateral nasolabial units and a central philtral subunit, which makes its reconstruction more complex and challenging. These are structures that constitute the largest part of the lower third of the face and, consequently, have an important function in lip competence, facial mimicry and appearance, which makes the preservation of the orbicularis oris muscle of the mouth a key objective in reconstructions 1,10,14 .…”

Section: Reconstruction Of Lower Lip Avulsion Due To a Human Bite: A ...mentioning

confidence: 99%

“…The labial anatomical structure is essentially made up of epithelial, muscular and mucous layers, the orbicular muscle of the mouth being the main component. In addition, it is made up of branches of the facial nerve, responsible for motor innervation, the trigeminal nerve, responsible for sensory innervation, and the superior and inferior labial arterial and venous branches, responsible for blood irrigation and drainage 1 .…”

Section: Introductionmentioning

confidence: 99%

“…The lips play an important operational role, as they participate in various functional movements, such as phonation, swallowing, facial expression, oral sealing, and aesthetics 1,2 . Thus, considering that facial injuries are a frequent occurrence in urgency and emergency services around the world, the importance of functional and aesthetic impairment, which can generate large facial deformities, is considerable, which generates negative impacts from the psychological point of view [1][2][3] .…”

Section: Introductionmentioning

confidence: 99%

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Reconstruction Of Lower Lip Avulsion Due To A Human Bite: A Case Report

Gellen¹,

Assis²,

Scartezzini³

et al. 2023

Collection of International Topics in Health Science- V1

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Lips constitute a fundamental role in facial apparatus as they are responsible for ensuring functional movements besides contributing for phonation, deglutition or swallowing, oral sealing and aesthetics. Lips have a complex anatomy, constituted mainly by the circular muscle of the mouth, besides epithelial layers and mucosa. Avulsions associated with these structures represent real challenges concerning reconstruction complexity and high-risk necrosis. Under this perspective it is fundamental that the planning is efficient in order to provide function and aesthetic back to the patient. Therefore, the current case aims at reporting lower lip reconstruction due to traumatic avulsion as a consequence of human bite in female patients. The initial approach involved a repositioning and fixing of the fragment with suture. However, that attempt failed, which ended up in necrosis of the avulsed stump. As a result, the therapeutic approach was carried on with necrosectomy and labial reconstruction by using axial peninsular composite flaps made by using advancement technique. The one-year post-surgery follow-up presented appropriate aspects, with efficient lip sealing, functional return, absence of necrosis, and guaranteed satisfactory result to the patient.

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Section: Reconstruction Of Lower Lip Avulsion Due To a Human Bite: A ...mentioning

confidence: 99%

Section: Reconstruction Of Lower Lip Avulsion Due To a Human Bite: A ...mentioning

confidence: 99%

Section: Reconstruction Of Lower Lip Avulsion Due To a Human Bite: A ...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Reconstruction Of Lower Lip Avulsion Due To A Human Bite: A Case Report

Gellen¹,

Assis²,

Scartezzini³

et al. 2023

Collection of International Topics in Health Science- V1

View full text Add to dashboard Cite

show abstract

“Reconstruction of large lower lip defect including vermilion using a V-Y advanced flap combined with a musculomucosal stacked flap.”

Wu¹,

Yang²,

Yin³

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Summary: Reconstruction of large lower lip defects is challenging, especially when repairing the vermilion at the same time. The authors describe a novel method for reconstruction of a large lower-lip defect including the vermilion. The reconstruction includes two layers: the anterior layer, reconstructed from V-Y advanced musculocutaneous flap of the cheek; and the posterior layer, reconstructed from the musculomucosal flap from the remnant lower lip. Stacking of the bilateral musculomucosal flaps raises the height of the posterior layer and covers the top of the lower lip to form the new vermilion. This is a simple and reliable method with satisfactory cosmetic and functional results.

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Surgical Lip Remodeling Following Permanent Filler Injection: A Scoping Review

Rauso

Fragola

Fasano

et al. 2021

Journal of Craniofacial Surgery

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Over the years, several techniques have been introduced to obtain permanent lip enhancement, such as the use of silicone lip implants or the off-label use of permanent fillers. Although some reports indicate that permanent lip filler is safe, many others describe early-and late-onset complications. The main issue with permanent lip fillers is the lack of a standard technique to correct undesirable results. The aim of this scoping review was to list and evaluate the surgical pathways described in literature to correct lip deformity resulted from the injection of permanent fillers. The methods and the inclusion criteria of this work were specified in advance and documented in a protocol, according to the PRISMA 2009 checklist. The research was carried out on electronic databases PubMed, Cochrane Library, and Scopus databases identifying articles from March 1991 to December 2020 and conducted up to December 23rd, 2020. Articles language was limited to English. The selection process identified 3 retrospective studies eligible for inclusion. 73 patients and a total of 111 lips (72 upper and 39 lower) were considered. Two early complications were identified, 1 suture dehiscence and 1 total lip mucosa necrosis. Surgical lip remodeling following permanent filler injection seems to be an effective approach although the surgical pathway needs to be customized per each patient. Complication rate seems to be coherent to lip surgery performed with reconstructive purposes. To confirm these data case-control studies with much wider cohorts are needed to reach statistical significance.

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Reconstruction of acquired lip defects: Ten-year experience at a tertiary care center

Cited by 5 publications

References 15 publications

Reconstruction Of Lower Lip Avulsion Due To A Human Bite: A Case Report

Reconstruction Of Lower Lip Avulsion Due To A Human Bite: A Case Report

“Reconstruction of large lower lip defect including vermilion using a V-Y advanced flap combined with a musculomucosal stacked flap.”

Surgical Lip Remodeling Following Permanent Filler Injection: A Scoping Review

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