Fan flaps for Cheiloplasty (lower lip reconstruction): A two year experience

Aim:To evaluate the fan flaps done during the past two years with regard to applicability, reliability, functional perspective and complications.Materials and Methods:All the fan flaps done were reviewed by inspecting case records and directly following up the patients (at periodic intervals). The i...

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Main Authors: T.M. Sheeja Rajan, Saramma Varughese, S. Jagadeesh
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2006-07-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699149
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author T.M. Sheeja Rajan
Saramma Varughese
S. Jagadeesh
author_facet T.M. Sheeja Rajan
Saramma Varughese
S. Jagadeesh
author_sort T.M. Sheeja Rajan
collection DOAJ
description Aim:To evaluate the fan flaps done during the past two years with regard to applicability, reliability, functional perspective and complications.Materials and Methods:All the fan flaps done were reviewed by inspecting case records and directly following up the patients (at periodic intervals). The indications, applicability to defect size, postoperative aesthetic and functional results and drawbacks were noted.Results: Eight fan flaps were done during this period. All were done for squamous cell carcinoma affecting lower lip. All the flaps survived. Two early cases of Gilles fan flap developed significant microstomia. Later flaps with neurovascular preservation maintained sensations with good commissural competence. Nakajima fan flaps gave good overall results.Conclusions: The fan flaps, especially the Nakajima modification with neurovascular preservation are safe and reliable flaps for lip reconstruction in terms of form and function.
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spelling doaj.art-385a9010cde54033b4e8c72e0035ff392022-12-22T03:46:59ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2006-07-01390216316610.1055/s-0039-1699149Fan flaps for Cheiloplasty (lower lip reconstruction): A two year experienceT.M. Sheeja Rajan0Saramma Varughese1S. Jagadeesh2Department of Plastic Surgery, Medical College, Calicut, IndiaDepartment of Plastic Surgery, Medical College, Calicut, IndiaDepartment of Plastic Surgery, Medical College, Calicut, IndiaAim:To evaluate the fan flaps done during the past two years with regard to applicability, reliability, functional perspective and complications.Materials and Methods:All the fan flaps done were reviewed by inspecting case records and directly following up the patients (at periodic intervals). The indications, applicability to defect size, postoperative aesthetic and functional results and drawbacks were noted.Results: Eight fan flaps were done during this period. All were done for squamous cell carcinoma affecting lower lip. All the flaps survived. Two early cases of Gilles fan flap developed significant microstomia. Later flaps with neurovascular preservation maintained sensations with good commissural competence. Nakajima fan flaps gave good overall results.Conclusions: The fan flaps, especially the Nakajima modification with neurovascular preservation are safe and reliable flaps for lip reconstruction in terms of form and function.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699149cheiloplasty oral circumference advancementcommissure competenceinnervated flaps
spellingShingle T.M. Sheeja Rajan
Saramma Varughese
S. Jagadeesh
Fan flaps for Cheiloplasty (lower lip reconstruction): A two year experience
Indian Journal of Plastic Surgery
cheiloplasty oral circumference advancement
commissure competence
innervated flaps
title Fan flaps for Cheiloplasty (lower lip reconstruction): A two year experience
title_full Fan flaps for Cheiloplasty (lower lip reconstruction): A two year experience
title_fullStr Fan flaps for Cheiloplasty (lower lip reconstruction): A two year experience
title_full_unstemmed Fan flaps for Cheiloplasty (lower lip reconstruction): A two year experience
title_short Fan flaps for Cheiloplasty (lower lip reconstruction): A two year experience
title_sort fan flaps for cheiloplasty lower lip reconstruction a two year experience
topic cheiloplasty oral circumference advancement
commissure competence
innervated flaps
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699149
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