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Modified labial tissue sliding flaps for repairing large lower lip defects
1Department of Oral and Maxillofacial Surgery, First Affiliated Hospital, Medical College of Zhejiang University, Hangzhou, P.R. China. timliu@mail.hz.zj.cn
Summary
This study presents a modified sliding labial tissue flap technique for lower lip reconstruction. The technique offers good functional and cosmetic outcomes for large defects, avoiding complications and recurrence.
Area of Science:
- Plastic Surgery
- Oncologic Reconstruction
- Oral and Maxillofacial Surgery
Background:
- Reconstructing large lower lip defects after cancer surgery presents challenges.
- Existing flap techniques can be destructive, complex, and yield poor functional and aesthetic results.
Purpose of the Study:
- To describe a modified sliding labial tissue flap technique for lower lip reconstruction.
- To evaluate the efficacy and outcomes of this technique in patients with lower lip defects.
Main Methods:
- Eight patients with lower lip defects (one-third to four-fifths of lip length) underwent reconstruction using sliding labial tissue flaps.
- Patients were followed for 2 to 12 years post-operatively.
Main Results:
- The sliding flap technique resulted in good functional and cosmetic outcomes.
- No intra- or postoperative complications were observed.
- No carcinoma recurrence was noted after a median follow-up of over 5 years.
Conclusions:
- The modified sliding labial tissue flap technique is simple, safe, and effective for lower lip reconstruction.
- It provides satisfactory functional and aesthetic results with minimal sacrifice of healthy tissue.
- The technique is suitable for defects ranging from one-third to four-fifths of the lower lip.