Reconstruction of the vermilion after “lip-shave”

Kolhe, Pralhad S.; Leonard, Alan G.

doi:10.1016/0007-1226(88)90147-6

Cited by 38 publications

(20 citation statements)

References 5 publications

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“…The position of ILA is close to the mucosa of the inner aspect of the lip just above the level of the lower margin of the vermilion (Kolhe and Leonard, 1988;Williams, 1995;Edizer et al, 2003). Irregularities of the vermilion attract considerable attention and can spoil the appearance of an otherwise excellently repaired cleft lip.…”

Section: Discussionmentioning

confidence: 99%

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Anatomic study of the blood supply of perioral region

2005

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The use of flaps to reconstruct lip defects requires detailed knowledge of the local vasculature. New flaps for surgery around the mouth can be devised if the surgeon knows the distribution of the perioral arterial branches. Examination of the anatomy of perioral branches of the facial artery (FA) confirmed the consistent presence of septal and alar branches in the upper lip and a labiomental branch in the lower lip. Mucosal flaps from the upper lip based on the deep septal branch or the alar branch of the FA can be used to restore lower lip defects. A composite flap from the lower lip supplied by the labiomental branch of the FA can be used to restore combined defects of the upper lip and nose or partial defects of the lower lip. We studied the vascular anatomy of the perioral region in 25 cadaver dissections. Fixation was by 10% formaldehyde solution. Red latex was injected into the common carotid arteries before dissection. In the 50 specimens, the primary supplying vessels were identified and the size and distribution of the vessels were investigated. The FA was symmetrical in 17 (68%) of 25 heads. It terminated as an angular facial vessel in 11 (22%), as a nasal facial vessel in 30 (60%), as an alar vessel in six (12%), and as a superior labial vessel in two (4%) facial halves. It terminated as a hypoplastic type of FA in one (2%) facial half. The average external diameter of the superior labial artery (SLA) was 1.6 mm (min-max: 0.6-2.8 mm) at its origin. The origin of the SLA was superior to the angle of the mouth in 34 of 47 specimens (72.3%), and at the angle of the mouth in 13 of 47 specimens (27.7%). In two of the remaining three specimens, the SLA was the continuation of the FA and the other was of the hypoplastic type. The SLA supplied the columellar branches in all specimens except for the hypoplastic type (49 specimens). Columellar branches were classified according to their number and their type. In five specimens (10%) the inferior labial artery (ILA) was not found. In the other specimens, the site of origin of the ILA varied between the lower margin of the mandible and the corner of the mouth. Its external diameter measured min-max: 0.5-1.5 mm. The ILA arose from the FA above the angle of mouth in 4 specimens (8%), inferior to the angle of mouth in 11 specimens (22%), and at angle of mouth in 30 specimens (60%). We observed that the labiomental arteries, which formed anastomoses between the FA, ILA, and submental artery, showed variations in their course in the labiomental region. We suggest that knowledge of the location of arteries with respect to easily identifiable landmarks will help to avoid complications at surgery.

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Section: Discussionmentioning

confidence: 99%

“…Reconstruction of the vermilion must also ensure that postoperative acquisition of sensation occurs as early as possible, a requirement that often makes it difficult to select a satisfactory operative procedure (Kolhe and Leonard, 1988;Pribaz et al, 1992Pribaz et al, , 2000Ono et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

Anatomic study of the blood supply of perioral region

2005

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“…Vermilion rekonstrüksiyonundaki diğer yöntemler başında; mukozal V-Y ilerletme flebi gelmektedir (6)(7)(8). Daha sıklıkla parsiyel vermilion rekonstrüksiyonunda kullanılan bu flep tekniğinde, oral mukozadan planlanan V şeklindeki mukozal flep, dekole edildikten sonra ilerletilerek defekte adapte edilir ve Y şeklinde bir sütürasyon hattı elde edilir.…”

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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“…Because of the characteristics of carcinoma in situ , in patients with LM, a deep surgical margin within the adipose tissue is usually sufficient. An orbicularis oris myomucosal flap is one of the techniques used for reconstruction of the vermilion after the lip shave procedure, 7 however, the symmetry of the vermilion is often damaged severely. The transverse twist flap technique 3 was first used for secondary revision of the cleft lip.…”

Section: Discussionmentioning

confidence: 99%

Transverse twist flap for lip reconstruction in patient with lentigo maligna of the labial mucosa

Matsushita

Uemura

Tanabe

et al. 2007

The Journal of Dermatology

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The transverse twist flap technique is used for secondary reconstruction of asymmetric volume-deficits of the cleft lip. We present a patient with lentigo maligna of the labial mucosa who underwent reconstruction using this technique. The result was excellent and there was no postoperative complications. The transverse twist flap is a useful and effective option for the reconstruction of lip defects after excision of lentigo maligna.

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Reconstruction of the vermilion after “lip-shave”

Cited by 38 publications

References 5 publications

Anatomic study of the blood supply of perioral region

Anatomic study of the blood supply of perioral region

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

Transverse twist flap for lip reconstruction in patient with lentigo maligna of the labial mucosa

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