Lip Reconstruction by Double Layer and Double Flap New Combination Technique: A Case Series
In the past, lip reconstruction after ablative surgery has been performed by primary closure and more recently by free flap transfer technique. Cheek’s skin flap has been used to reconstruct the lower lip cutaneous portion. This study presents a reconstructive method for the vermillion and the lip’s...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Dentistry Journal |
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| Online Access: | https://www.mdpi.com/2304-6767/10/2/19 |
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| author | Antonio Cortese Salvatore Catalano Antonio Alberto Maria Giunta Antonio Borri Daniele Panetta Pier Paolo Claudio |
| author_facet | Antonio Cortese Salvatore Catalano Antonio Alberto Maria Giunta Antonio Borri Daniele Panetta Pier Paolo Claudio |
| author_sort | Antonio Cortese |
| collection | DOAJ |
| description | In the past, lip reconstruction after ablative surgery has been performed by primary closure and more recently by free flap transfer technique. Cheek’s skin flap has been used to reconstruct the lower lip cutaneous portion. This study presents a reconstructive method for the vermillion and the lip’s cutaneous portion using the Goldstein–Robotti techniques (for the vermillion) and the buccinator flap to reconstruct the cutaneous lip portion and the perioral muscles. This procedure allows a complete reconstruction with a double layer technique for defects of more than one-third of both lips, together or alone, including modiolus, showing satisfactory functionality and aesthetics. The procedure was carried out by splitting the buccinator muscle and elongating the upper and lower buccinator bundles, together or alone. Soft tissue blunt dissection prevented most facial nerves and vessels injuries, ensuring blood supply and an amount of lip sensitivity. Even in the case of facial vessel ligatures after neck dissection, the technique was possible basing the flap pedicle on the internal maxillary artery branches (buccinator) and contralateral facial vessels (orbicularis). We present a case series of six reconstructions of various defects of the upper and lower lips, including the commissure after ablative surgery for squamous cell carcinoma and polymorphous adenocarcinoma. The results showed satisfactory functional and aesthetic outcomes, with similar tissue texture, static and dynamic symmetry achieved for all the patients. |
| first_indexed | 2024-03-09T22:13:04Z |
| format | Article |
| id | doaj.art-345f2c13548b41c5bd57bc9172eee617 |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-03-09T22:13:04Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-345f2c13548b41c5bd57bc9172eee6172023-11-23T19:27:58ZengMDPI AGDentistry Journal2304-67672022-01-011021910.3390/dj10020019Lip Reconstruction by Double Layer and Double Flap New Combination Technique: A Case SeriesAntonio Cortese0Salvatore Catalano1Antonio Alberto Maria Giunta2Antonio Borri3Daniele Panetta4Pier Paolo Claudio5Unit of Maxillofacial Surgery, Department of Medicine and Surgery, University of Salerno, 84084 Salerno, ItalyENT Department, Santa Maria della Misericordia Hospital, 06121 Perugia, ItalyENT Department, Santa Maria della Misericordia Hospital, 06121 Perugia, ItalyUnit of Maxillofacial Surgery, Department of Medicine and Surgery, University of Salerno, 84084 Salerno, ItalyUnit of Maxillofacial Surgery, Department of Medicine and Surgery, University of Salerno, 84084 Salerno, ItalyNational Center Natural Product Research, Department of Biomolecular Sciences, University of Mississippi, Jackson, MS 39216, USAIn the past, lip reconstruction after ablative surgery has been performed by primary closure and more recently by free flap transfer technique. Cheek’s skin flap has been used to reconstruct the lower lip cutaneous portion. This study presents a reconstructive method for the vermillion and the lip’s cutaneous portion using the Goldstein–Robotti techniques (for the vermillion) and the buccinator flap to reconstruct the cutaneous lip portion and the perioral muscles. This procedure allows a complete reconstruction with a double layer technique for defects of more than one-third of both lips, together or alone, including modiolus, showing satisfactory functionality and aesthetics. The procedure was carried out by splitting the buccinator muscle and elongating the upper and lower buccinator bundles, together or alone. Soft tissue blunt dissection prevented most facial nerves and vessels injuries, ensuring blood supply and an amount of lip sensitivity. Even in the case of facial vessel ligatures after neck dissection, the technique was possible basing the flap pedicle on the internal maxillary artery branches (buccinator) and contralateral facial vessels (orbicularis). We present a case series of six reconstructions of various defects of the upper and lower lips, including the commissure after ablative surgery for squamous cell carcinoma and polymorphous adenocarcinoma. The results showed satisfactory functional and aesthetic outcomes, with similar tissue texture, static and dynamic symmetry achieved for all the patients.https://www.mdpi.com/2304-6767/10/2/19lip-reconstructionplastic surgerybuccinator muscleorbicularis muscleoral cancer |
| spellingShingle | Antonio Cortese Salvatore Catalano Antonio Alberto Maria Giunta Antonio Borri Daniele Panetta Pier Paolo Claudio Lip Reconstruction by Double Layer and Double Flap New Combination Technique: A Case Series Dentistry Journal lip-reconstruction plastic surgery buccinator muscle orbicularis muscle oral cancer |
| title | Lip Reconstruction by Double Layer and Double Flap New Combination Technique: A Case Series |
| title_full | Lip Reconstruction by Double Layer and Double Flap New Combination Technique: A Case Series |
| title_fullStr | Lip Reconstruction by Double Layer and Double Flap New Combination Technique: A Case Series |
| title_full_unstemmed | Lip Reconstruction by Double Layer and Double Flap New Combination Technique: A Case Series |
| title_short | Lip Reconstruction by Double Layer and Double Flap New Combination Technique: A Case Series |
| title_sort | lip reconstruction by double layer and double flap new combination technique a case series |
| topic | lip-reconstruction plastic surgery buccinator muscle orbicularis muscle oral cancer |
| url | https://www.mdpi.com/2304-6767/10/2/19 |
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