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Reconstruction of lower lip with myomucosal advancement flap
Author(s) -
Isik Daghan,
Garca M. Fatih,
Durucu Cengiz,
Goktas Ugur,
Atik Bekir
Publication year - 2012
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21957
Subject(s) - lower lip , medicine , sphincter , surgery , head and neck , dentistry
Background In this article, a new surgical procedure that can be used for reconstruction of lower lip defects of any size is described. Methods In this prospective study, the surgical procedure was applied in 16 patients. In this procedure, the mucosa and the orbicularis oris muscle of the lower lip are repaired with a composite flap, and the skin defect is closed using local skin flaps. The patients were assessed in terms of complications, mouth opening, sphincter function of the mouth, and sensation in the lower lip. Results The aesthetic results obtained in all patients were satisfactory. Sufficient oral sphincter function was achieved in all patients. Conclusion Reconstruction of lower lip defects using the procedure described here can be performed in patients with lower lip defects of any size as long as the mucosal and skin repair lines are not superimposed. This procedure yielded good sphincter function and aesthetic results. © 2011 Wiley Periodicals, Inc. Head Neck , 2011