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Related Experiment Videos

The split orbicularis myomucosal flap for lower lip reconstruction.

Yadranko Ducic1, Rhagu Athre, Christopher Spencer Cochran

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, USA. yducic@sbcglobal.net

Archives of Facial Plastic Surgery
|September 21, 2005
PubMed
Summary

The split orbicularis myomucosal flap effectively reconstructs large lower lip defects up to 80%. This reliable technique minimizes risks of microstomia and functional impairment in lower lip reconstruction.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oral and Maxillofacial Surgery

Background:

  • Large lower lip defects often require complex reconstruction.
  • The split orbicularis myomucosal flap is a reconstructive technique for lower lip defects.

Purpose of the Study:

  • To describe the split orbicularis myomucosal flap technique.
  • To review the authors' experience with this flap for large lower lip defects.

Main Methods:

  • Retrospective review of patients undergoing lower lip reconstruction.
  • Analysis of defects resulting from cancer resection and trauma.

Main Results:

  • 14 patients underwent reconstruction with the split orbicularis myomucosal flap.

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  • Defects ranged from 50% to 80% of the lower lip, with 2/3 crossing the vermilion.
  • No flap failures, nerve palsies, or oral incompetence were observed.

    • Conclusions:

    • The split orbicularis myomucosal flap is a reliable method for significant lower lip defects.
    • This technique offers minimal risk of microstomia or functional impairment.