Reconstruction of the oral commissure

Takato, Tsuyoshi; Ono, Isamu; Ebihara, Satoshi; Matsumoto, T

doi:10.1016/0030-4220(86)90030-7

Cited by 11 publications

(6 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar to the principle of the basic Z-plasty procedure, as the vectors of contraction are broken and shifted to different poles, a scar will not be able to contract in the same direction again. Takato et al 3 have also advocated the creation of a zigzag suture line in their report, presenting oral commissure reconstruction with the use of 2 triangular skin flaps and a tongue flap.…”

Section: Discussionmentioning

confidence: 96%

Reconstruction of the Oral Commissure With the Use of a New Technique

Sarı

Aksoy²,

Basterzï³

et al. 2009

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Microstomia reconstruction due to the presence a blunted oral commissure is a challenging task because it requires the restoration of intricately balanced distinct layers of tissues: the oral mucosa, the orbicular muscle, the vermilion border, and the perioral skin. The reliability of commissural reconstruction depends on 2 factors: the first one is breaking the contraction vectors causing blunting of the commissure and the second one is restoring the integrity of the oral sphincter. We have used local skin, vermilion border-muscle, and mucosa flaps designed in an asterisk pattern to break the contraction vectors and have paid certain attention to the restoration of the sphincter function of the circular muscle fibers. Our results have shown that, with the use of our asterisk design, a new commissure aesthetically comparable to the natural one can be created with the reestablishment of reliable oral competence.

show abstract

Section: Discussionmentioning

confidence: 96%

Reconstruction of the Oral Commissure With the Use of a New Technique

Sarı

Aksoy²,

Basterzï³

et al. 2009

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…The first is to reconstruct using the remaining lip tissue, and closing it directly [11,12]. The second is to use a local skin flap with mucosal tissue [13,14]. The third is to use a distant or free skin flap with or without mucosal tissue [5,15].…”

Section: Discussionmentioning

confidence: 99%

Recontouring commissuroplasty after reconstruction of large defects after resections for head and neck cancer with commissure involvement using an anterolateral thigh flap

Chang

Lai

Lin

2009

Scandinavian Journal of Plastic and Reconstructive Surgery and

View full text Add to dashboard Cite

The aim of this study was to describe our technique for recontouring commissuroplasty after reconstruction of large, through-and-through perioral defects in patients with head and neck cancer with emphasis on functional and cosmetic outcome. This technique was used in 15 patients aged between 33 and 66 years. Recontouring required liposuction, arrow-headed advancement flap, and anchoring vector sutures. All patients had satisfactory functional and cosmetic results and healed without complication. Function was evaluated to find out whether the patient was free of drooling and able to accommodate more food postoperatively. Aesthetic evaluation was subjective, and the patients themselves decided using a visual analogue cosmesis scale. Our combined procedures provide a predictable way of creating a new oral commissure, improving postoperative drooling, and increasing the intraoral space after reconstruction.

show abstract

“…local skin flap with mucosal tissue [10,11,12]; and distant skin flap with/without mucosal tissue [13,14].…”

Section: Discussionmentioning

confidence: 99%

The Donkey, The Fox, The Gun And A Lip

2005

IJS

View full text Add to dashboard Cite

The lips form an extremely important part of who we are. Speech, feeding and appearance are largely dependent on well formed and functioning lips. Loss of these organs results in social withdrawal, difficulty in speech, and may make it impossible to eat. Thus restoration of functional, sensate lips, that are hopefully cosmetically acceptable, should be the goal of every surgeon who sees these patients. This paper is a case report, in which the author reports on three patients who lost their lips through attacks by a donkey, a fox and a gunshot injury. The Karapanzic flap, used in all these patients, is briefly outlined, as well as the immediate and short-term results.

show abstract

Reconstruction of the oral commissure

Cited by 11 publications

References 3 publications

Reconstruction of the Oral Commissure With the Use of a New Technique

Reconstruction of the Oral Commissure With the Use of a New Technique

Recontouring commissuroplasty after reconstruction of large defects after resections for head and neck cancer with commissure involvement using an anterolateral thigh flap

The Donkey, The Fox, The Gun And A Lip

Contact Info

Product

Resources

About