scholarly journals Managing lip large papilloma extirpation defect by arterialized advancement vermilion flap

2020 ◽  
Vol 7 (7) ◽  
pp. 2442
Author(s):  
Rahul Sahai ◽  
Sudhir Singh
Keyword(s):  
Close Association ◽  
Verrucous Carcinoma ◽  
Donor Site ◽  
Advancement Flap ◽  
Surgical Removal ◽  
Upper Lip ◽  
Lower Lip ◽  
Aesthetic Results ◽  
One Year ◽  
Lip Defect

The close resemblance of squamous papilloma with verrucous carcinoma and the chief etiological factor associated with its development, the human papillomavirus (HPV) raises a doubt about its close association with malignancy. The best way to treat HPV growths is surgical removal and assessment of lesion by histopathology. The defect needs reconstruction with full function and aesthetic outlook. Thirty-seven years old young man with history of tobacco chewing developed slow growing papilloma in upper lip in one year. It was excised fully and the defect was repaired by arterialized lip vermilion mucosal flap based on slightly tortuous labial vessel and so the flap could be elastically stretched even up to fifty percent of lip length and applied successfully. Same patient developed papilloma in lower lip as a separate primary after two years of nonrecurrence of previous operated upper lip papilloma. Lower lip lesion was excised similarly and repaired with same type of vermilion mucosal advancement flap from adjacent part of lower lip defect created. The post-operative period was uneventful and after three years of last operation there is no recurrence in either lip. Vermilion flap which is based on labial artery containing composite tissue comprising of mucosa and portion of orbicularis muscle mainly has been utilized to reconstruct the post excision papilloma lip defect with excellent functional and aesthetic results. There was no microstomia. It is single stage not involving donor site like tongue or cheek mucosa and is good upto half of lower lip defects.

Triple Advancement Flap to Repair an Upper Lip Defect

2006 ◽  
Vol 32 (3) ◽  
pp. 415-417
Author(s):  
ADRIENNE S. GLAICH ◽  
DANIEL S. BEHROOZAN ◽  
LEONARD H. GOLDBERG
Keyword(s):  
Advancement Flap ◽  
Upper Lip ◽  
Lip Defect

The Lambda Flap for Secondary Cleft Lip Repair

1997 ◽  
Vol 34 (4) ◽  
pp. 357-361 ◽  
Author(s):  
Ichiro Tange
Keyword(s):  
Cleft Lip ◽  
Donor Site ◽  
Skin Surface ◽  
Upper Lip ◽  
Lower Lip ◽  
Cleft Lip Repair ◽  
Technical Details ◽  
Abbé Flap ◽  
Figure Type

Objective: A modified Abbe flap of the lambda figure type, designed by the author and used before or after secondary cleft lip repair in 146 consecutive cases since 1990 is described. Design: This series consisted of 71 cases with unilateral deformity and 75 cases with bilateral deformity at adolescent or adult ages. The technical details of this method and representative cases with the results are shown. The philtrum is created by incising the two branches of the lambda flap obliquely at 45 degrees to the skin surface in the lower lip, then matching them in the central recipient bed of the deficient upper lip. Results and Conclusions: The resultant upper lip is not only full and slack, but also attractive with an acute cubic contour of the philtrum. Furthermore, the residual scar at the donor site is concealed in the mentolabial fold.

Combination of bilateral advancement flap and mucosal-island-pedicle flap for reconstruction of an upper lip defect

2019 ◽  
Vol 154 (2) ◽  
Author(s):  
Lukas Kofler ◽  
Katrin Schweinzer ◽  
Daniel Sossau ◽  
Hans-Martin Häfner ◽  
Claudia Schulz
Keyword(s):  
Advancement Flap ◽  
Upper Lip ◽  
Pedicle Flap ◽  
Lip Defect

Triple Advancement Flap to Repair an Upper Lip Defect

2006 ◽  
Vol 32 (3) ◽  
pp. 415-417 ◽  
Author(s):  
ADRIENNE S. GLAICH ◽  
DANIEL S. BEHROOZAN ◽  
LEONARD H. GOLDBERG
Keyword(s):  
Advancement Flap ◽  
Upper Lip ◽  
Lip Defect

scholarly journals Aesthetics in orthodontics

2017 ◽  
Vol 18 (2) ◽  
pp. 33-38 ◽  
Author(s):  
Alejandro Casas ◽  
Ginna Bayona
Keyword(s):  
Orthodontic Treatment ◽  
Occlusal Plane ◽  
Upper Lip ◽  
Lower Lip ◽  
Plane Parallel ◽  
Incisal Edge ◽  
Aesthetic Results ◽  
Treatment Plans

To conduct a successful orthodontic treatment, we must understand a key concept and fundamental: aesthetics. Despite being a concept extremely subjective and influenced by culture, there are some features we can evaluate. An optimal smile is characterized by an upper lip that reach the gingival margins, with a curve or straight up between the philtrum and the corners, a line coincident with the upper incisal edge of lower lip minimal or absent negative spaces; commissural line and frontal occlusal plane parallel to the pupil, and some gum and dental components harmoniously integrated. Only when individualized and developed treatment plans for each patient, we can obtain acceptable aesthetic results.

scholarly journals Revision of Bilateral Celft Lip Deformity Using Abbe Flap

1970 ◽  
Vol 2 (2) ◽  
Author(s):  
Shelly M Djaprie ◽  
Prasetyanugraheni Kreshanti ◽  
Siti Handayani ◽  
Kristaninta Bangun
Keyword(s):  
Cleft Lip ◽  
Primary Repair ◽  
Donor Site ◽  
Central Portion ◽  
Upper Lip ◽  
Lower Lip ◽  
Inappropriate Use ◽  
Bilateral Cleft Lip ◽  
Secondary Deformity ◽  
Abbé Flap

Background: Most primary repair of bilateral complete cleft lip does not show satisfying result due to several deformities caused by inappropriate use of the hypoplastic prolabial tissue, failure to advance the lateral lip elements to the midline for primary repair of the orbicularis, and scarring. The Abbe flap is the accepted procedure for the correction of severe secondary deformity of a bilateral cleft lip. By introducing an adequate amount of lip tissue, it relieves the tightness of the upper lip and also corrects the depressions of the tip of the nose. Symmetry between the two lip is also achieved Patient and Method: Three patients with tight lip deformity underwent this procedure. The Abbe flap, which was taken from the central portion of the lower lip vermilion, was designed to repair the vermilion tubercle and the Cupid’s bow. A tiny portion of skin was included to facilitate closure of the donor site. The pedicle was divided 3 weeks after operation. Results: Each patients showed a more natural contour of the vermilion tubercle and the Cupid’s bow. The scarring of the donor site was inconspicuous. Summary: The Abbe flap can be considered as a choice for revision of bilateral cleft lip deformity. The disadvantages of this flap include patient’s discomfort and the need for multiple procedures. 

Bilateral Peri-Alar Advancement Flap to Close a Midline Upper Lip Defect

2011 ◽  
Vol 37 (8) ◽  
pp. 1159-1162 ◽  
Author(s):  
MATTEO C. LOPICCOLO ◽  
DAVID J. KOUBA
Keyword(s):  
Advancement Flap ◽  
Upper Lip ◽  
Lip Defect

Split Myomucosal Advancement Flap for Reconstruction of a Lower Lip Defect

2012 ◽  
Vol 38 (10) ◽  
pp. 1725-1728 ◽  
Author(s):  
Candace J. Glenn ◽  
Robert T. Adelson ◽  
Franklin P. Flowers
Keyword(s):  
Advancement Flap ◽  
Lower Lip ◽  
Lip Defect

scholarly journals Conservative treatment of a Class I malocclusion with 12 mm overjet, overbite and severe mandibular crowding

2012 ◽  
Vol 17 (5) ◽  
pp. 43-52
Author(s):  
Marcos Alan Vieira Bittencourt ◽  
Arthur Costa Rodrigues Farias ◽  
Marcelo de Castellucci e Barbosa
Keyword(s):  
Class I ◽  
Facial Features ◽  
Conservative Approach ◽  
Upper Lip ◽  
Facial Aesthetics ◽  
Lower Lip ◽  
Angle Class ◽  
Nasolabial Angle ◽  
Lower Arch ◽  
Lower Incisors

INTRODUCTION: A female patient aged 12 years and 2 months had molars and canines in Class II relationship, severe overjet (12 mm), deep overbite (100%), excessive retroclination and extrusion of the lower incisors, upper incisor proclination, with mild midline diastema. Both dental arches appeared constricted and a lower arch discrepancy of less than -6.5 mm. Facially, she had a significant upper incisors display at rest, interposition and eversion of the lower lip, acute nasolabial angle and convex profile. OBJECTIVE: To report a clinical case consisting of Angle Class I malocclusion with deep overbite and overjet in addition to severe crowding treated with a conservative approach. METHODS: Treatment consisted of slight retraction of the upper incisors and intrusion and protrusion of the lower incisors until all crowding was eliminated. RESULTS: Adequate overbite and overjet were achieved while maintaining the Angle Class I canine and molar relationships and coincident midlines. The facial features were improved, with the emergence of a slightly convex profile and lip competence, achieved through a slight retraction of the upper lip and protrusion of the lower lip, while improving the nasolabial and mentolabial sulcus. CONCLUSIONS: This conservative approach with no extractions proved effective and resulted in a significant improvement of the occlusal relationship as well as in the patient's dental and facial aesthetics.

scholarly journals Excision of Lower Lip Mucocele Using Injection of Hydrocolloid Dental Impression Material in a Pediatric Patient: A Case Report

2021 ◽  
Vol 11 (13) ◽  
pp. 5819
Author(s):  
Gianluca Botticelli ◽  
Marco Severino ◽  
Gianmaria Fabrizio Ferrazzano ◽  
Pedro Vittorini Velasquez ◽  
Carlo Franceschini ◽  
...  
Keyword(s):  
Minor Salivary Gland ◽  
Surgical Techniques ◽  
Surgical Excision ◽  
Complete Healing ◽  
Surgical Removal ◽  
Clinical Approach ◽  
Lower Lip ◽  
Impression Material ◽  
Dental Impression

Oral mucocele is a benign cystic exophytic lesion affecting the minor salivary gland and is especially present in pediatric patients (3% under 14 years). It is characterized by an extravasation or retention of fluid or mucus in the submucosal tissue of the minor salivary glands. Several surgical techniques have been proposed over the years, including the excision of the mucocele by using the injection of a hydrocolloid impression material in the light of the cyst to prevent the collapse of the cystic wall and solidify the lesion, resulting in a better cleavage plan. The combined clinical approach between the combination of Shira’s technique and the surgical excision of the cystic lesion results in a conservative surgical removal of the lesion. Here, we reported the removal of a labial mucocele in a 14-year-old male patient, using the injection of a hydrocolloid impression material. At a 12 months follow up, the patient showed complete healing of the surgical site, showing a pinkish lip lining mucosa without scarring or recurrence of the primary lesion. The combined therapeutic approach between Shira’s technique and surgical excision allows a safe and predictable excision of the labial mucocele, minimizing the risk of recurrence.

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