Visor flap for total upper and lower lip reconstruction: a case report
<p>Abstract</p> <p>Introduction</p> <p>Noma, aptly named the 'face of poverty', is a scourge with a mortality rate of up to 90% that affects some 140,000 people each year, predominantly children in the sub-Saharan 'noma belt'. Survivors of the acute...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2009-06-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/3/1/7312 |
| _version_ | 1811298492547596288 |
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| author | Nthumba Peter Carter Louis |
| author_facet | Nthumba Peter Carter Louis |
| author_sort | Nthumba Peter |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Noma, aptly named the 'face of poverty', is a scourge with a mortality rate of up to 90% that affects some 140,000 people each year, predominantly children in the sub-Saharan 'noma belt'. Survivors of the acute attack suffer severe facial disfigurement from loss of facial tissue and scarring. Surgical reconstruction of noma defects is a major challenge, especially in Africa, where the majority of cases occur.</p> <p>Case presentation</p> <p>We report the case of a 40-year-old Somali man who presented with severe facial disfigurement, including total absence of both upper and lower lips. After a failed initial reconstruction, a combination of platysma flaps and a left deltopectoral flap provided mucosal lining, while a scalp visor flap served to recreate upper and lower lips, the beard and moustache.</p> <p>Conclusion</p> <p>The scalp visor flap offers a simple but extremely versatile tool for use in midfacial reconstruction, especially in the male, providing neo-lip tissue, a moustache and a beard. This is the first report of a simultaneous total upper and lower lip reconstruction using a scalp visor flap, in the English literature. We also emphasize on a process of transfer of skills to enable local surgeons to effectively manage the challenge that noma presents.</p> |
| first_indexed | 2024-04-13T06:21:02Z |
| format | Article |
| id | doaj.art-8c87c8a3c8b841ccbb6bfef7668d1946 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-13T06:21:02Z |
| publishDate | 2009-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-8c87c8a3c8b841ccbb6bfef7668d19462022-12-22T02:58:39ZengBMCJournal of Medical Case Reports1752-19472009-06-0131731210.4076/1752-1947-3-7312Visor flap for total upper and lower lip reconstruction: a case reportNthumba PeterCarter Louis<p>Abstract</p> <p>Introduction</p> <p>Noma, aptly named the 'face of poverty', is a scourge with a mortality rate of up to 90% that affects some 140,000 people each year, predominantly children in the sub-Saharan 'noma belt'. Survivors of the acute attack suffer severe facial disfigurement from loss of facial tissue and scarring. Surgical reconstruction of noma defects is a major challenge, especially in Africa, where the majority of cases occur.</p> <p>Case presentation</p> <p>We report the case of a 40-year-old Somali man who presented with severe facial disfigurement, including total absence of both upper and lower lips. After a failed initial reconstruction, a combination of platysma flaps and a left deltopectoral flap provided mucosal lining, while a scalp visor flap served to recreate upper and lower lips, the beard and moustache.</p> <p>Conclusion</p> <p>The scalp visor flap offers a simple but extremely versatile tool for use in midfacial reconstruction, especially in the male, providing neo-lip tissue, a moustache and a beard. This is the first report of a simultaneous total upper and lower lip reconstruction using a scalp visor flap, in the English literature. We also emphasize on a process of transfer of skills to enable local surgeons to effectively manage the challenge that noma presents.</p>http://www.jmedicalcasereports.com/content/3/1/7312 |
| spellingShingle | Nthumba Peter Carter Louis Visor flap for total upper and lower lip reconstruction: a case report Journal of Medical Case Reports |
| title | Visor flap for total upper and lower lip reconstruction: a case report |
| title_full | Visor flap for total upper and lower lip reconstruction: a case report |
| title_fullStr | Visor flap for total upper and lower lip reconstruction: a case report |
| title_full_unstemmed | Visor flap for total upper and lower lip reconstruction: a case report |
| title_short | Visor flap for total upper and lower lip reconstruction: a case report |
| title_sort | visor flap for total upper and lower lip reconstruction a case report |
| url | http://www.jmedicalcasereports.com/content/3/1/7312 |
| work_keys_str_mv | AT nthumbapeter visorflapfortotalupperandlowerlipreconstructionacasereport AT carterlouis visorflapfortotalupperandlowerlipreconstructionacasereport |