V-Y advancement flap for the reconstruction of partial and full thickness defects of the upper lip

Abstract

We analysed the records of 25 patients who had their upper lips reconstructed after resection of a tumour. All the repairs were done with triangular cutaneous and musculocutaneous flaps with a skin island with V-Y advancement, and a subcutaneous or muscular pedicle with or without mucosa. The choice of flap was based on the width of the defect after the tumour had been resected. A subcutaneous pedicled flap was used in 14 patients; a musculocutaneous flap not including the mucosa in 5, and including the mucosa in 6. This flap can be used to repair upper lip defects of any thickness. The procedure is quite safe from a circulatory point of view and the flap has the advantage of requiring only one procedure. It is aesthetically satisfactory in most patients and maintains the good function and sensitivity of the lip.

Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap

“…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.…”

Outcomes Following V-Y Advancement Flap Reconstruction of Large Upper Lip Defects

“…5 Carvahlo et al later described modifications allowing reconstruction of full-thickness upper lip defects using V-Y flaps. 6 …”

Cheek Advancement Flap with Retained Standing Cone for Reconstruction of a Defect Involving the Upper Lip, Nasal Sill, Alar Insertion, and Medial Cheek

“…[11][12][13] The technique is useful because it avoids distortion of the surrounding cosmetic boundaries of the lip, cheek, and nose. [11][12][13] The technique is useful because it avoids distortion of the surrounding cosmetic boundaries of the lip, cheek, and nose.…”

“…V-Y advancement flaps have been specifically described for inferolateral perialar defects. [11][12][13] The technique is useful because it avoids distortion of the surrounding cosmetic boundaries of the lip, cheek, and nose. Even though the superior border of the scar may be hidden in the melolabial fold, it's main disadvantage is that it leaves an unsightly kite-shaped scar and may result in a trapdoor deformity.…”