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[Full thickness defects of the lips. Reconstructive techniques and indications].
M Stricker1, E Simon, F Duroure
1Service de chirurgie maxillo-faciale et plastique de la face, CHU Nancy, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France.
Annales De Chirurgie Plastique Et Esthetique
|November 27, 2002
Summary
Lip tissue loss disrupts continuity, often requiring reconstructive surgery. While microsurgical replantation is ideal, local flaps like naso-labio-jugal are frequently necessary due to tissue availability.
Area of Science:
- Reconstructive surgery
- Plastic surgery
- Oral and maxillofacial surgery
Context:
- Full-thickness lip defects result in loss of lip continuity.
- Classic repair principles advocate using lip tissue for lip reconstruction.
- Tissue loss extent dictates surgical approach, often necessitating local flaps.
Purpose:
- To review reconstructive options for full-thickness lip defects.
- To discuss the limitations of microsurgical labial replantation.
- To highlight the utility of local flaps in lip reconstruction.
Summary:
- Full-thickness lip defects compromise lip continuity, necessitating reconstruction.
- Local flaps, including naso-labio-jugal, labio-mental, and submental, are viable options when tissue loss is significant.
- Microsurgical labial replantation, though ideal, is often infeasible due to practical constraints and avulsed fragment condition.
Impact:
- Provides guidance on selecting appropriate reconstructive techniques for lip defects.
- Emphasizes practical considerations in choosing between replantation and flap reconstruction.
- Informs surgeons on managing complex lip tissue loss to restore form and function.