Reconstruction of partial-thickness vermilion defects with a mucosal V–Y advancement flap based on the orbicularis oris muscle

Jin, Xiaolei; Teng, Li; Zhang, Chao; Xu, Jiajie; Lu, Jianjian; Zhang, Bo; Xie, Fang; Xu, Meibang

doi:10.1016/j.bjps.2010.07.017

Cited by 12 publications

(12 citation statements)

References 16 publications

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“…Yine de, alt dudağın incelmesi ve gingivobukkal sulkusun sığlaşması bu teknik ile Süleyman Taş, Parsiyel Vermilion Defektlerinin Onarımı Şekil 1. Kırk altı yaşında erkek hasta, alt dudak paramediyan hatta, aktinik keilitis tanısıyla opere edildi, preoperatif görüntüsü Şekil2.a) Mevcut lezyon, 2 mm'lik güvenlik marjı ile orbikülaris oris kası korunarak eksize edildi ve 4x2 cm defekt oluştuğu izlendi, intraoperatif görüntüsü, b) Mevcut defekti onarmak için ağız içi mukozasından planlanan flep insize edildi, c) Planlanan flep, orbikülaris oris kası üzerindeki plandan eleve edildi görülen komplikasyonlardır (1)(2)(3)(4)(5). Gingivobukkal sulkusun sığlaşması, yeme esnasında yiyeceklerin dökülmesine neden olabilmektedir.…”

Section: Discussionunclassified

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

Taş¹

2017

Haseki

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Aim: Lip, located in lower 1/3 of the face, is very important unit from aesthetic and functional aspect. Vermilion is a subunit of the lip and also has aesthetic and sensorial functions. Following the trauma and cancer surgeries, vermilion reconstruction is needed and it needs experienced and meticulous procedures. Here, it is aimed to describe the experience of mucosal transposition flap in reconstruction of partial vermilion defects with a detailed operation technique, the results of the patients and review of the literature. Methods:Between February 2014 and May 2015, nine patients (eight male, one female; mean age 45, range 34 to 52) were diagnosed precancerous lesion with punch biopsy and were underwent a surgical excision and vermilion reconstruction under local anesthesia. The patients were followed up 1 year with a interval of postoperative 7. 7. day and 1, 3, 6 and 12. month. The histopatologic, functional and aesthetic records were evaluated.Results: Functional and excellent aesthetic results were achieved in all patients. No complication nor recurrence was observed during followup period. Conclusion:Oral mucosal transposition flap was considered as first choice in reconstruction of the partial vermilion defects since its functional and aesthetic success and no donor tissue morbidity.

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Section: Discussionunclassified

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

Taş¹

2017

Haseki

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“…A variety of techniques and modified procedures have been reported for the reconstruction of the lower vermilion, including the use of mucosal flaps or mucosal grafts from the buccal mucosa, tongue, or palate [8][9][10][11][12][13] ; buccal musculomucosal flaps 6,14 ; hard palate mucoperiosteal grafts 15 ; vermilion advancement flaps 16 ; cross-lip flaps 17,18 ; and facial artery muscular-mucosal flaps. 19 These techniques could be of great benefit for the reconstruction of simple vermilion defects.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the Lower Vermilion With a Musculomucosal Flap From the Upper Lip in the Repair of Extensive Lower Lip and Chin Defects

Li¹,

Lan²,

Zhang³

et al. 2014

Journal of Craniofacial Surgery

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In the repair of extensive lower lip and chin defects, the reconstruction of vermilion at the same time is a great challenge to plastic surgeons. We describe a novel method for the reconstruction of lower vermilion with musculomucosal flap from the upper lip in the repair of extensive lower lip and chin defects. Two patients underwent extensive lower lip and chin reconstruction together with vermilion reconstruction. This technique used 3 basic components: musculomucosal flap from the upper lip, buccal mucosal advancement flap, and cutaneous rotational flap from the neck. All the flaps survived without significant complications. Labial function in the motions of expression and speaking was maintained. The patients could basically close their mouths completely, and there were no drooping or small-mouth deformities postoperatively. Functional and cosmetically acceptable lower-lip and chin reconstructions in both patients were achieved.

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“…The mucosal and submucosal tissues were incised and dissected, after which the V-shaped mucosal flap was advanced to the defect to completely cover the wound (Fig. 1) [4].…”

Section: Methodsmentioning

confidence: 99%

“…Mental V-Y advancement flap was conducted for reconstruction of cutaneous layer. After that, the vermilion mucosal layer was reconstructed by representative methods such as mucosal V-Y advancement flap [4], buccal mucosal flap [5], and buccal mucosal graft [6]. We describe an efficient technique to large lower lip defects combining mental V-Y advancement flap and buccal mucosal graft and present our long-term outcomes.…”

Section: Introductionmentioning

confidence: 99%

Effective method for reconstruction of remaining lower lip vermilion defect after a mental V-Y advancement flap

Kim

Ahn

Kim

et al. 2019

Arch Craniofac Surg

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Background: The mental V-Y advancement flap method is useful for reconstruction of lower lip defect because of its many advantages. However, it is not easy to select the optimal reconstructive method for the vermilion defect that remains after application of the mental V-Y advancement flap. In choosing the representative surgical method for vermilion mucosal reconstruction including mucosal V-Y advancement flap, buccal mucosal flap, and buccal mucosal graft. We describe an efficient technique to large lower lip defects combining mental V-Y advancement flap and buccal mucosal graft Methods: This study included 16 patients who underwent reconstructive surgery for full-thickness and large defect (> half the entire width) of the lower lip from October 2006 to September 2017. The operation was conducted using mental V-Y advancement flap with various vermilion mucosal reconstruction methods considering the location of the defect and the amount of residual tissue of the lip coloboma after excision. Results: All patients underwent mental V-Y advancement flap. In vermilion mucosal reconstruction, five patients underwent mucosal V-Y advancement flap, three underwent buccal mucosal flap, and eight underwent buccal mucosal graft. There were good aesthetic and functional results in all patients who underwent buccal mucosal graft. However, two patients who underwent mucosal V-Y advancement flap complained of oral incompetence, and all patients who underwent buccal mucosal flap had oral commissure deformity. Conclusion: Buccal mucosal graft combined with mental V-Y advancement flap can produce suitable functional and aesthetic outcomes in near total lower lip reconstruction in patient with large mucosal defect including vermilion portion.

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Reconstruction of partial-thickness vermilion defects with a mucosal V–Y advancement flap based on the orbicularis oris muscle

Cited by 12 publications

References 16 publications

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

Reconstruction of the Lower Vermilion With a Musculomucosal Flap From the Upper Lip in the Repair of Extensive Lower Lip and Chin Defects

Effective method for reconstruction of remaining lower lip vermilion defect after a mental V-Y advancement flap

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