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Modified von Bruns' technique for total lower lip reconstruction
Neta Adler1, Abraham Amir, Daniel Hauben
1Department of Plastic and Reconstructive Surgery and Burn Unit, Rabin Medical Center, Beilinson Campus, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. amosad@post.tau.ac.il
Summary
This study presents a modified von Bruns technique for lower lip reconstruction using two upper nasolabial flaps. This one-stage procedure offers complete support for the reconstructed lip and commissures.
Area of Science:
- Plastic Surgery
- Surgical Oncology
Background:
- Reconstruction of large lower lip defects presents significant challenges.
- Ideal reconstruction requires sensation, muscle function, adequate mouth opening, and aesthetics.
Observation:
- A modified von Bruns technique was developed for lower lip and bilateral commissure reconstruction.
- The technique utilizes two superiorly based nasolabial flaps, one positioned above the other.
Findings:
- The described surgical technique is a single-stage procedure.
- It effectively reconstructs total lower lip defects, including both commissures.
- The method provides robust support to the reconstructed lower lip.
Implications:
- This technique offers a viable solution for complex lower lip defects, particularly those caused by cancer.
- It addresses functional and aesthetic considerations in lower lip reconstruction.
- The simplicity and single-stage nature may improve patient outcomes and reduce treatment burden.