Use of linked mucosal flap for lower lip reconstruction after human bite injury

2008 ◽  
Vol 123 (3) ◽  
pp. 346-347 ◽  
Author(s):  
Z Zgaljardic ◽  
G Racic ◽  
Z Colovic
Keyword(s):  
Scar Tissue ◽  
Tissue Type ◽  
Tissue Formation ◽  
Upper Lip ◽  
Lower Lip ◽  
Human Bite ◽  
Lip Reconstruction ◽  
Mucosal Flap ◽  
Aesthetic Result ◽  
Minimal Scar

AbstractAim:An alternative method of reconstruction of a lower lip defect is presented, using a mucosal flap taken from the upper lip. This approach leaves the skin intact and therefore avoids skin scarring, with its associated unpredictable healing. The upper lip mucosal flap applied to reconstruct the lower lip injury was identical to the injured tissue type.Result:The results were functionally and aesthetically excellent (as illustrated).Conclusion:This technique represents an excellent alternative to reconstruction of a damaged lip, with the benefits of minimal scar tissue formation and excellent aesthetic result.

scholarly journals Lip Shaving in Carcinoma Lower Lip and Reconstruction by Local Advancement Mucosal Flap Under Local Anesthesia: A Case Report

2020 ◽  
Vol 5 (8) ◽  
pp. 905-909
Author(s):  
Tareq Mohammed ◽  
Mamoon TB ◽  
Md Sirajul Islam ◽  
Md Aminul Islam ◽  
Farid Uddin Milki ◽  
...  
Keyword(s):  
Sun Exposure ◽  
Squamous Cell Carcinomas ◽  
Careful Planning ◽  
Lower Lip ◽  
Verbal Expression ◽  
Lip Reconstruction ◽  
Mucosal Flap ◽  
The Face ◽  
Extensive Surgery ◽  
Oral Commissure

The lips are one of the most important features of the face; and are functionally and aesthetically very important. It serves as border of the oral commissure, provides access to oral cavity and contributes to oral competence. It is important for verbal expression and fundamental for facial expression and overall appearance of face1 . Excessive sun exposure and tobacco use, may develop cancer. The cancer can occur anywhere along the upper or lower lip, but is most common on the lower lip. Most lip cancers are squamous cell carcinomas. Surgery is the main stay of treatment and lip shave is an established modality for superficial lesion followed by reconstruction. Extensive surgery may be necessary for larger lesion. Careful planning and reconstruction can restore eating and speaking normally, and also achieve a satisfactory appearance after surgery. Evidence supports that the concept of lip reconstruction started as early as 1000 BC in the sacred texts of great Susruta, India2 . Lip mucosa is very special and it is recommended to reconstruct the surgical defect with lip tissue whenever possible, as any other tissue is never comparable or can replace the lip tissue3 . This is the example of this presented case.

scholarly journals Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Eldad Silberstein ◽  
Yuval Krieger ◽  
Yaron Shoham ◽  
Ofer Arnon ◽  
Amiram Sagi ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Radial Forearm Flap ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Aesthetic Result ◽  
Forearm Flap ◽  
Palmaris Longus ◽  
Radial Forearm

Introduction.Squamous cell carcinoma is a common tumour of lower lip. Small defects created by surgical resection may be readily reconstructed by linear closure or with local flaps. However, large tumours resection often results with microstomia and oral incompetence, drooling, and speech incomprehension. The goal of this study is to describe our experience with composite free radial forearm-palmaris longus tendon flap for total or near total lower lip reconstruction.Patients and Methods.This procedure was used in 5 patients with 80–100% lip defect resulting from Squamous cell carcinoma. Patients’ age ranged from 46 to 82 years. They are three male patients and two female. In 3 cases chin skin was reconstructed as well and in one case a 5 cm segment of mandible was reconstructed using radius bone. In one case where palmaris longus was missing hemi-flexor carpi radialis tendon was used instead. All patients tolerated the procedure well.Results.All flaps totally survived. No patient suffered from drooling. All patients regained normal diet and normal speech. Cosmetic result was fair to good in all patients accept one.Conclusion.We conclude that tendino-fasciocutaneous radial forearm flap for total lower lip reconstruction is safe. Functional and aesthetic result approaches reconstructive goals.

scholarly journals Upper lip reconstruction after a dog bite

2019 ◽  
Vol 25 (1) ◽  
pp. 3
Author(s):  
Maxime Guillemin ◽  
Guillaume Giran
Keyword(s):  
Surgical Procedure ◽  
Functional Results ◽  
Dog Bite ◽  
Upper Lip ◽  
Lip Reconstruction ◽  
Aesthetic Result ◽  
Upper Lip Reconstruction

Observation: In traumatology, wounds of the lips are frequent and their care is often summarized in a suture in one or more planes. Defects at this level are rather rare. When they occur, it is important to study their areas and their size in order to offer the best reconstruction. When Abbes' flap is appropriate, surgical procedure is always achieved remotely from the trauma. Comments: This technique allows rebuilding one-third of the upper lip and gives good functional results and a satisfactory aesthetic result. A weaning of the flap at three weeks, regular follow-up, and prospective surgical revisions will be necessary.

scholarly journals Versatility of the estlander flap: upper lip, lower lip and comissure reconstruction due to a dog bite

2019 ◽  
Vol 7 (6) ◽  
pp. 2428
Author(s):  
Natalia Haro Alvarez ◽  
Jose de Jesus Orozco Grados ◽  
Enrique Chavez Serna ◽  
Alejandro Lopez Garibay ◽  
David Navarro Barquin ◽  
...  
Keyword(s):  
Medical Community ◽  
Dog Bite ◽  
Upper Lip ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Affected Area ◽  
Dog Bites ◽  
The World ◽  
Efficient Alternative ◽  
Recovery Assessment

Background: Dog bites continue to be a frequent cause for plastic and reconstructive services in the world. The grand majority of these cases affect the head and neck area; and more often than not they involve the commissure and the lips. The latter leading to an increased level of difficulty and a substantial decrease on the posibilities for a successful reconstruction. This case report focuses on the exploration of the Abbe-Estlander flap as an efficient alternative in most of these cases.Methods: We present two clinical cases involving dog bites where the affected area of both patients was estimated to be one third of the total volume of the lip. Both patients required emergency reconstructive surgery. An Estlander flap was successfully performed in both instances. The purpose of the article is to share the results and motivate the medical community to continue to use this method as a strong avenue for an effective recovery.Results: After two months of the surgery, the team followed up with both patients and they were satisfied with the results. Patient A presented adequate healing of the wound; a lack of alignment of the mucocutaneous rim and rounding of the commissure was observed. Phonation, oral continence without any leakage and complete closure of the lip were also part of the recovery assessment. Patient B presented adequate healing of the wound, phonation and medium oral continence with occasional leakage of liquids and incomplete closure.Conclusions: The Abbe-Estlander flap is still an excellent reconstructive alternative for upper and lower lip reconstruction where the affected area is up to one third of the total volume. As long as the commissure involvement represents minimum difficulty, both aesthetic and functional objectives can be successfully attained using this flap.

scholarly journals Labial lesions by human bite

2018 ◽  
Vol 24 (4) ◽  
pp. 153-156 ◽  
Author(s):  
Mathieu Millogo ◽  
Richard W-L Ouedraogo ◽  
Vincent Ily ◽  
Tarcissus Konsem ◽  
Dieudonné Ouedraogo
Keyword(s):  
Sex Ratio ◽  
Prospective Study ◽  
Burkina Faso ◽  
Clinical Characteristics ◽  
Upper Lip ◽  
University Hospitals ◽  
Lower Lip ◽  
Human Bite ◽  
The University

Introduction: A bite from another human is an unusual cause of maxillo-facial traumatology. Our objective was to describe the epidemiologic and clinical characteristics of labial lesions caused by this kind of bite. Patients and methods: A descriptive prospective study was carried out at the University hospitals of Yalgado OUEDRAOGO and Blaise COMPAORE in Ouagadougou in Burkina Faso between June 2012 and May 2017. Results: We collected a sample of 28 patients with an average age of 32.5 years. The sex ratio was about 0.3. All the bites had been inflicted by women. The victims generally came from an underprivileged socioprofessional background. The bite had occurred during a brawl in 26 patients (92.9% cases) and in some context of aggression among 2 patients. The lesions were located on the lower lip among 21 patients, the upper lip among 4 patients, and along the commissure among 3 patients and resulted in a loss of tissue among 23 patients (82.1%). The treatment was surgical in nature, using trimming and labialization with satisfactory results in all cases. Conclusion: The circumstances surrounding the bites are not always clear and the lesions are almost always serious and require delicate treatment.

Conservative management for complete loss of a metatarsal pad in a dog

2009 ◽  
Vol 22 (04) ◽  
pp. 325-327 ◽  
Author(s):  
K. I. Sideri ◽  
L. G. Papazoglou ◽  
N. N. Prassinos
Keyword(s):  
Conservative Management ◽  
Scar Tissue ◽  
Complete Loss ◽  
Antibiotic Administration ◽  
Oral Antibiotic ◽  
Tissue Formation ◽  
Intact Male ◽  
Minimal Scar ◽  
Exercise Restriction

SummaryA three-year-old intact, male Siberian Husky was presented for complete loss of its left metatarsal pad. The wound was managed as an open wound and left to be closed by second intention healing. Conservative management consisted of regular lavage and bandage changes along with oral antibiotic administration and exercise restriction. Thirty days after referral conservative management was discontinued, as the wound was closed with minimal scar tissue formation and the dog was allowed to take walks wearing a protective boot for another month. The animal was then allowed to return to its previous activity. Four years of follow-up did not reveal any signs of lameness.

Bipedicled Axial Cross-lip Flap for Correction of Major Vermilion Deficiency after Cleft Lip Repair

1994 ◽  
Vol 31 (2) ◽  
pp. 148-151 ◽  
Author(s):  
Jeffrey D. Wagner ◽  
M. Haskell Newman
Keyword(s):  
Coronary Arteries ◽  
Cleft Lip ◽  
Local Flaps ◽  
Upper Lip ◽  
Lower Lip ◽  
Mucosal Flap ◽  
Second Stage ◽  
Cleft Lip Repair

Vermilion irregularities are common secondary deformities after cleft lip repair. Particularly severe In bilateral clefts, vermilion deficiency attracts considerable attention and detracts from an otherwise excellent lip repair. Minor and moderate vermilion deficits can be corrected with upper lip advancement, rotation flaps, tongue flaps, or grafts. Major defects defy correction with local flaps, because of an absolute shortage of upper-lip tissue. A technique Is described for correction of large absolute tissue deficits of the upper-lip vermilion using a bipedicled lower to upper cross-lip visor flap. A lower lip wet vermilion/mucosal flap is based bilaterally near the commissures on the coronary arteries and transferred to a releasing incision at the wet/dry vermilion border of the upper lip. The commissural pedicles are divided and inset at a second stage 10 days later to complete the transfer. The procedure provides ample bulk and lining for major upper-lip vermilion augmentation and tubercle reconstruction without disturbing the obicularis oris muscular oral sphincter. In addition it balances the lips and allows for feeding. The technique is illustrated In two patients with major upper-lip vermilion defects after repair of bilateral cleft lips.

A simple method for lower lip reconstruction after trauma using an advancement mucosal flap from the remaining lip

2012 ◽  
Vol 29 (6) ◽  
pp. 465-466 ◽  
Author(s):  
Ming-Yueh Liu ◽  
Stamatis Sapountzis ◽  
Mun-Yau Choong ◽  
Tzong-Shiun Li
Keyword(s):  
Simple Method ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Mucosal Flap
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