scholarly journals Hybrid Reconstruction of the Upper Lip Following Major Cancer Resections

2020 ◽  
Vol 5 (7) ◽  
Keyword(s):  
Cancer Surgery ◽  
Central Unit ◽  
Upper Lip ◽  
Additional Advantage ◽  
Lower Lip ◽  
Abbé Flap ◽  
Standard Techniques

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 Karapandzik 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

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>

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.

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. 

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.

Movements of the Upper and Lower Lips during Speech

1986 ◽  
Vol 29 (3) ◽  
pp. 348-356 ◽  
Author(s):  
John W. Folkins ◽  
Jeanne L. Canty
Keyword(s):  
Strain Gauge ◽  
Organizational Systems ◽  
Upper Lip ◽  
Bite Block ◽  
Lower Lip ◽  
Block Sizes ◽  
Open Position ◽  
Normal Speaking ◽  
Speech Articulators

Inferior-superior displacements of the upper lip, lower lip, and jaw were transduced with a strain-gauge system in 4 normal-speaking adults. Movements of the upper and lower lips were compared across conditions in which the jaw was free to move and when bite blocks were used to fix the jaw at four different vertical positions. As jaw-open position was increased with the bite blocks, it was found that: (a) Positions of both lips changed for bilabial closure, but the closing movements did not usually maintain consistent proportions between lips across different bite-block sizes; (b) although the lips maintained fairly consistent maximum interlabial opening across many conditions, this opening was reduced in the small bite-block conditions; and (c) in a few cases there was an increase in the duration of lip-closing movements, but these were small and inconsistent. The findings are discussed relative to possible organizational systems that would produce the observed interactions among speech articulators.

Lip and Jaw Kinematics in Bilabial Stop Consonant Production

1997 ◽  
Vol 40 (4) ◽  
pp. 877-893 ◽  
Author(s):  
Anders Löfqvist ◽  
Vincent L. Gracco
Keyword(s):  
Control Strategy ◽  
High Velocity ◽  
Stop Consonant ◽  
Movement Variability ◽  
Upper Lip ◽  
Lower Lip ◽  
Vowel Context ◽  
Virtual Target ◽  
Contextual Variability ◽  
Consonant Voicing

This paper reports two experiments, each designed to clarify different aspects of bilabial stop consonant production. The first one examined events during the labial closure using kinematic recordings in combination with records of oral air pressure and force of labial contact. The results of this experiment suggested that the lips were moving at a high velocity when the oral closure occurred. They also indicated mechanical interactions between the lips during the closure, including tissue compression and the lower lip moving the upper lip upward. The second experiment studied patterns of upper and lower lip interactions, movement variability within and across speakers, and the effects on lip and jaw kinematics of stop consonant voicing and vowel context. Again, the results showed that the lips were moving at a high velocity at the onset of the oral closure. No consistent influences of stop consonant voicing were observed on lip and jaw kinematics in five subjects, nor on a derived measure of lip aperture. The overall results are compatible with the hypothesis that one target for the lips in bilabial stop production is a region of negative lip aperture. A negative lip aperture implies that to reach their virtual target, the lips would have to move beyond each other. Such a control strategy would ensure that the lips will form an air tight seal irrespective of any contextual variability in the onset positions of their closing movements.

Articulatory peculiarities of the Baraba-Tatar phoneme о /ʊ̇/ (on MRI data)

2021 ◽  
pp. 191-208
Author(s):  
T. R. Ryzhikova ◽  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Soft Palate ◽  
Full Description ◽  
Resonance Imaging ◽  
Upper Lip ◽  
Acoustic Effect ◽  
Lower Lip ◽  
Vocal System ◽  
Magnetic Resonance Imaging Mri

The paper aims to describe the articulatory traits of the Baraba-Tatar phoneme o /ʊ̇/ by the somatic methods. The method used is magnetic resonance imaging (MRI). Eighteen Barabian tomograms comprising o-type articulation have been described and analyzed according to the technique adopted in the V. M. Nadelyayev’s Laboratory of Experimental-Phonetic Researches (Institute of Philology SB RAS). The text provides only general observations and conclusions, with a full description of all tomograms given in three tables. The experimentalphonetic analysis of the Baraba-Tatar tomograms of the vowel o allowed the author to draw several conclusions. There is a variability of the o-type tunings in Barabian, the most typical being the central-back narrow labialized ejective realization. Though it is very narrow and is phonetically transcribed as /ʊ̇/, it is acoustically perceived as o. While producing the sound o, the oral and pharyngeal cavities become very small, producing the effect of tension. Additional narrowing occurs between the soft palate and the tongue back as well as between the upper teeth and the lower lip, thus preventing the airflow from free release. The lip position is also unusual: instead of protruding forward, the upper lip moves back, tightly covering the upper teeth to produce an interesting acoustic effect. To sum up, further investigation of all vocal system units of Baraba-Tatar is needed to draw ultimate conclusions about the typological belonging of the language under consideration.

Non-syndromic double upper lip with triple frena: cosmetic cheiloplasty

2021 ◽  
Vol 14 (9) ◽  
pp. e243156
Author(s):  
Monika Gupta ◽  
Harshita Vig ◽  
Yajas Kumar ◽  
Aliza Rizvi
Keyword(s):  
Psychological Distress ◽  
Present Article ◽  
Surgical Management ◽  
Surgical Intervention ◽  
The Other ◽  
Upper Lip ◽  
Lower Lip ◽  
Facial Anomaly ◽  
The Aesthetic ◽  
Functional Problems

Double lip or macrocheilitis is a rare facial anomaly, mostly congenital in origin. It commonly involves the upper lip than the lower lip. It may occur in isolation or as part of the Ascher’s syndrome. It results due to deposition of excessive areolar tissue and non-inflammatory hyperplasia of labial mucosa gland of pars villosa. It may be acquired as a result of injury to the lips or lip-biting habit. The double lip becomes conspicuous when the lips are retracted during smiling resulting in the characteristic ‘cupid’s bow’ appearance. This disfigurement can pose aesthetic and functional problems and may result in psychological distress. A surgical intervention is must for restoration of functions and to address the aesthetic concerns. The present article reports a case of non-syndromic double upper lip with triple labial frena and its surgical management with laser on one side and with scalpel on the other side.

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