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.

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 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 Modification of the position of the angulus oris with a rotation flap and a YV flap in lip reconstruction

2020 ◽  
Vol 47 (3) ◽  
pp. 277-280
Author(s):  
Tomoki Kiuchi ◽  
Masaki Yazawa ◽  
Takafumi Ohshiro ◽  
Kazuo Kishi
Keyword(s):  
Skin Defect ◽  
Dog Bite ◽  
Upper Lip ◽  
Initial Operation ◽  
Lip Reconstruction ◽  
The Face ◽  
Orbicularis Oris Muscle ◽  
Food And Drink ◽  
The Right ◽  
Lip Defect

Functionally, the lip serves to prevent food and drink from spilling out of the beginning of the gastrointestinal tract, and it is also used for vocalization. In addition, the lip has cosmetic importance as part of the face involved in making expressions, and in many cultures, it is considered to be sexually appealing. The results of lip reconstruction procedures must therefore be both functionally and cosmetically satisfactory. When the orbicularis oris muscle and oral mucosa are excised, functional reconstruction is prioritized. In contrast, if there are no functional problems, cosmetic reconstruction is the main focus. This case involved the reconstruction of a right upper lip defect caused by a dog bite. When the skin defect was covered with a local flap, the right angulus oris shifted medially, so we incorporated a YV flap at the right angulus oris to modify its position and allow for a cosmetically satisfactory result. We believe that this method can be used not only for cases in which asymmetry of the angulus oris is expected to occur at the time of lip reconstruction, but also for cases in which it has already occurred in the initial operation.

Yu's flap for lower lip and reverse Yu's flap for upper lip reconstruction: 20 years experience

2013 ◽  
Vol 51 (8) ◽  
pp. 767-772 ◽  
Author(s):  
Zhen-Ning Li ◽  
Rui-Wu Li ◽  
Xue-Xin Tan ◽  
Zhong-Fei Xu ◽  
Fa-Yu Liu ◽  
...  
Keyword(s):  
Upper Lip ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Upper Lip Reconstruction

scholarly journals Upper lip reconstruction post major cancer resections using the hybrid concept

2020 ◽  
Vol 6 (7) ◽  
pp. 1347
Author(s):  
Badr M. I. Abdulrauf
Keyword(s):  
Cancer Surgery ◽  
Central Unit ◽  
Upper Lip ◽  
Additional Advantage ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Hybrid Concept ◽  
Upper Lip Reconstruction ◽  
Abbé Flap ◽  
Standard Techniques

<p>Major defects of the upper lip due to cancer surgery are relatively less common compared to lower lip. Standard techniques such as Karapandzic’s are capable of reconstructing up to fifty percent of the lip otherwise microstomia and oral incompetence may result. The upper lip has few aesthetic characteristic details due to the philtrum, its columns and cupid’s bows. Here we are proposing incorporation of an abbe flap to reconstruct the central unit of upper lip, associated with Karapandzic flaps from both sides. Use of a lip sharing concept has an additional advantage of producing harmony to the reconstructed region, and avoidance of crowding phenomena to the lower lip.</p>

scholarly journals Primary anatomic reconstruction in upper and lower lips: case report

2020 ◽  
Vol 8 (12) ◽  
Author(s):  
Henrique Hadad ◽  
Laís Kawamata de Jesus ◽  
Ana Flávia Piquera Santos ◽  
Rodrigo Capalbo-Silva ◽  
Bruno Coelho Mendes ◽  
...  
Keyword(s):  
Case Report ◽  
Muscle Flap ◽  
Anatomic Reconstruction ◽  
Anatomical Reconstruction ◽  
Upper Lip ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Algorithmic Approach ◽  
Free Muscle Flap ◽  
Oral Commissure

Extensive lip injuries reconstructions require a strategy of treatment. First, the strategy can follow the anatomical references in order to closure the injury reestablishing the lip functions. This article report a reconstruction of an extensive lip injury after a convulsion and a fall in height in a male patient. The lip reconstruction by anatomical reconstruction was effective for immediate structural maintenance and allowed a favorable healing for the second surgical stage.Descriptors: Lip; Wounds and Injuries; Surgery, Oral.ReferencesMatin MB, Dillon J. Lip reconstruction. Oral Maxillofac Surg Clin North Am. 2014;26(3):335-57.Lubek JE, Ord RA. Lip reconstruction. Oral Maxillofac Surg Clin North Am. 2013;25(2):103-14.Cakmak MA, Cinal H, Barin EZ, Sakat MS, Karaduman H, Tan O. Total lower lip. reconstruction with functional gracilis free muscle flap. J Craniofac Surg. 2018;29(3):735-37.Larrabee YC, Moyer JS. Reconstruction of mohs defects of the lips and chin. Facial Plast Surg Clin North Am. 2017;25(3):427-42.Coppit GL, Lin DT, Burkey BB. Current concepts in lip reconstruction. Curr Opin Otolaryngol Head Neck Surg. 2004;12(4):281-87.Daraei P, Calligas JP, Katz E, Etra JW, Sethna AB. Reconstruction of upper lip avulsion after dog bite: case report and review of literature. Am J Otolaryngol. 2014;35(2):219-25.Sanniec KJ, Carboy JA, Thornton JF. Simplifying Lip Reconstruction: An Algorithmic Approach. In Semin Plast Surg. 2018;32(2):69-74.Neligan PC. Strategies in lip reconstruction. Clin Plast Surg. 2009;36(3):477-85.Bai S, Li RW, Xu ZF, Duan WY, Liu FY, Sun CF. Total and near-total lower lip reconstruction: 20 years experience. J Craniomaxillofac Surg. 2015;43(3):367-72.Ogawa R. Surgery for scar revision and reduction: from primary closure to flap surgery. Burns Trauma. 2019;7:7 doi: 10.1186/s41038-019-0144-5.Siqueira EJ, Alvarez GS, Laitano FF, Martins PDE, Oliveira MP. Estratégias em reconstrução do lábio inferior. Rev Bras Cir Plást.2012;27(4):536-41.Estlander JA. Eine methode aus der einen lippe substanzverluste der anderen zu erstzen. Arch Klin Chir. 1872;14:622. Reprinted in English in Plast Reconstr Surg. 1968;42:361.Robotti E, Righi B, Carminati M, Ortelli L, Bonfirraro PP, Devalle L et al. Oral commissure reconstruction with orbicularis oris elastic musculomucosal flaps. J Plast Reconstr Aesthet Surg. 2010;63(3):431-39.Yamauchi M, Yotsuyanagi T, Ezoe K, Saito T, Yokoi K, Urushidate S. Estlander flap combined with an extended upper lip flap technique for large defects of lower lip with oral commissure. J Plast Reconstr Aesthet Surg. 2009;62(8):997-1003.

Epidemiological Features of Dog Bites among Children Attending Emergency Room in Al-showmely General Hospital

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Hasan Alwan Baiee ◽  
Weli Hatif
Keyword(s):  
Emergency Room ◽  
General Hospital ◽  
Health Problem ◽  
Lower Limbs ◽  
Care Providers ◽  
Dog Bite ◽  
Female Ratio ◽  
Post Exposure ◽  
Dog Bites ◽  
Bite Injuries

Dog bites are common and can affect victims of different ages.Dog bite injuries in children are a preventable health problem.Dog bites are a serious health problem that cause both physical and emotional damage to victims and considerable cost to communities. Studies on dog bites among Iraqi children were very scarce.This study focuses on theincidence,mechanisms,and epidemiologicalcircumstances ofdog biteinjuriesin a series of pediatric patients who sustained dog bites in emergency Room. MethodologyA cross sectional study was designed to studyall cases of dog bites attending the emergency room in AL-Showmely General Hospital located in the southern district – Babylon province-Iraq, during the period ; from the January, first,2017 through theend of March, 2018.Special constructed were prepared to collect data through interview of victims or their companions who attended the emergency section during this period,ethical clearances were obtained.*A total of 320 children presented to the hospital with dog bite injuries.The incidence rate of dog bites was 275 per 100000 population, the male to female ratio was 3:1.the most common dog bite injuries took place in September44 (13.75%). Injury rates were highest in those aged 0-4,declining thereafter with age. In the 6-10, year age group141 (44.1%), most of cases living in rural district (villages). The most affected location were lower limbs, only 3.4% of the injured children had completed the post exposure anti rabies vaccine. Dog bites are common health problem among children,Children who are younger than 10 years represent the high-risk group for dog attacks. very few of them had complete the prophylactic post exposure vaccine Therefore, prevention strategies should focus on public education,training health care providers and controlling stray dogs.

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