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Published on: August 4, 2020
[Vermilion reconstruction after dog bite injuries]
1Klinik für Plastische Chirurgie und Handchirurgie, Klinikum Hildesheim GmbH, Weinberg 1, 31134 Hildesheim. b.rieck@klinikum-hildesheim.de
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|May 15, 2007
Summary
Dog bite lip injuries are common in children and adults. Surgical techniques like wedge excision, myocutaneous flaps, and mucosal flaps (von Esmarch technique) effectively reconstruct various lip defects, preserving function and aesthetics.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Dermatology
Context:
- Dog bite injuries frequently affect the lips, particularly in children (facial injuries) and adults (kissing injuries).
- Lip defects vary from minor to major, involving all layers or specific structures like the vermilion.
Purpose:
- To outline surgical strategies for reconstructing dog bite-induced lip defects.
- To highlight the efficacy of different reconstructive techniques based on defect severity and location.
Summary:
- Minor all-layer lip defects are managed with wedge excision.
- Major lower lip defects utilize myocutaneous flaps, while upper lip defects are reconstructed with exchange flaps.
- Vermilion defects can be effectively treated with mucosal flaps using the von Esmarch technique, ensuring excellent aesthetic and functional outcomes without compromising mouth opening.
Impact:
- Provides a concise overview of surgical management for dog bite lip injuries.
- Emphasizes the von Esmarch technique for vermilion reconstruction, offering superior aesthetic and functional results.
- Aids clinicians in selecting appropriate reconstructive methods for diverse lip injuries.