Reconstruction of the lateral defect of the lower lip by a combination of two advancement flaps

Introduction: The functional and esthetic result of the reconstruction of the lower lip after the removal of the tumor depends on the correct choice of surgical technique. Given the fact that their number is great, the choice is not easy. Patients and methods: In this study, the authors included fiv...

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Autores principales: Marijan Kovačić, Ivan Kovačić
Formato: article
Lenguaje:EN
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Publicado: Hrvatski liječnički zbor 2021
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Acceso en línea:https://doaj.org/article/217d4098e7d44f1e85ef43b8b55c4f5b
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spelling oai:doaj.org-article:217d4098e7d44f1e85ef43b8b55c4f5b2021-12-03T07:27:30ZReconstruction of the lateral defect of the lower lip by a combination of two advancement flaps10.26800/LV-143-3-4-40024-34771849-2177https://doaj.org/article/217d4098e7d44f1e85ef43b8b55c4f5b2021-04-01T00:00:00Zhttps://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/rekonstrukcija-postranicnog-defekta-donje-usne-kombinacijom-dvaju-klizajucih-reznjeva/https://doaj.org/toc/0024-3477https://doaj.org/toc/1849-2177Introduction: The functional and esthetic result of the reconstruction of the lower lip after the removal of the tumor depends on the correct choice of surgical technique. Given the fact that their number is great, the choice is not easy. Patients and methods: In this study, the authors included five patients who underwent reconstruction of a lower lip defect with a combination of two lobes, an elastic vermilion lobe, and an island V-Y mental sliding lobe. All patients had squamous cell carcinoma of the lateral part of the lower lip ≥ 2cm (T2). An elastic vermilion flap popularized by Goldstein, and the well-known island V-Y advancement mental flap introduced into the surgical practice by Bayamicli et al. were used. A very good esthetic and functional result was achieved. The formed lip has an appropriate natural look, quality volume, symmetry , matching width and height. Conclusion: This combination of two established flaps is a serious alternative to other surgical techniques in the reconstruction of a lower lip defect that is not suitable for direct remediation, primary closure. The surgical technique of flaps formation is not difficult, can be performed under local anesthesia, and does not require long surgical time.Marijan KovačićIvan KovačićHrvatski liječnički zborarticlecarcinomasquamous cell – surgery; lip neoplasms – pathologyMedicine (General)R5-920ENHRLiječnički vjesnik, Vol 143, Iss 3-4, Pp 98-102 (2021)
institution DOAJ
collection DOAJ
language EN
HR
topic carcinoma
squamous cell – surgery; lip neoplasms – pathology
Medicine (General)
R5-920
spellingShingle carcinoma
squamous cell – surgery; lip neoplasms – pathology
Medicine (General)
R5-920
Marijan Kovačić
Ivan Kovačić
Reconstruction of the lateral defect of the lower lip by a combination of two advancement flaps
description Introduction: The functional and esthetic result of the reconstruction of the lower lip after the removal of the tumor depends on the correct choice of surgical technique. Given the fact that their number is great, the choice is not easy. Patients and methods: In this study, the authors included five patients who underwent reconstruction of a lower lip defect with a combination of two lobes, an elastic vermilion lobe, and an island V-Y mental sliding lobe. All patients had squamous cell carcinoma of the lateral part of the lower lip ≥ 2cm (T2). An elastic vermilion flap popularized by Goldstein, and the well-known island V-Y advancement mental flap introduced into the surgical practice by Bayamicli et al. were used. A very good esthetic and functional result was achieved. The formed lip has an appropriate natural look, quality volume, symmetry , matching width and height. Conclusion: This combination of two established flaps is a serious alternative to other surgical techniques in the reconstruction of a lower lip defect that is not suitable for direct remediation, primary closure. The surgical technique of flaps formation is not difficult, can be performed under local anesthesia, and does not require long surgical time.
format article
author Marijan Kovačić
Ivan Kovačić
author_facet Marijan Kovačić
Ivan Kovačić
author_sort Marijan Kovačić
title Reconstruction of the lateral defect of the lower lip by a combination of two advancement flaps
title_short Reconstruction of the lateral defect of the lower lip by a combination of two advancement flaps
title_full Reconstruction of the lateral defect of the lower lip by a combination of two advancement flaps
title_fullStr Reconstruction of the lateral defect of the lower lip by a combination of two advancement flaps
title_full_unstemmed Reconstruction of the lateral defect of the lower lip by a combination of two advancement flaps
title_sort reconstruction of the lateral defect of the lower lip by a combination of two advancement flaps
publisher Hrvatski liječnički zbor
publishDate 2021
url https://doaj.org/article/217d4098e7d44f1e85ef43b8b55c4f5b
work_keys_str_mv AT marijankovacic reconstructionofthelateraldefectofthelowerlipbyacombinationoftwoadvancementflaps
AT ivankovacic reconstructionofthelateraldefectofthelowerlipbyacombinationoftwoadvancementflaps
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