Related Experiment Videos
Cheek flaps for reconstruction of full-thickness lip defects
S Sakai1, T Kawaguchi, H Haibara
1Department of Plastic and Reconstructive Surgery, Tottori Prefectural Central Hospital, Japan.
Annals of Plastic Surgery
|February 1, 1991
Summary
This study presents a cheek flap technique for lip reconstruction, preserving vascular networks for dual-layer coverage. This method maintains oral vestibulum and aids denture fitting, with specific limitations for beards and lower lip defects.
Area of Science:
- Reconstructive Surgery
- Oral and Maxillofacial Surgery
Background:
- Full-thickness lip defects require effective reconstruction to restore form and function.
- Maintaining intraoral vestibulum and denture-fitting capability are crucial post-reconstruction goals.
Observation:
- A novel cheek flap technique was employed for lip reconstruction in two patients.
- The flap was divided into two layers, preserving subcutaneous vascularity for distinct coverage needs.
Findings:
- This dual-layer cheek flap successfully provided external skin cover and internal oral lining.
- Adequate intraoral vestibulum and straightforward denture fitting were achieved post-surgery.
- Limitations include unsuitability for patients with beards and potential downward displacement in lower lip reconstructions without additional procedures.
Implications:
- This technique offers a viable option for specific lip defect reconstructions, enhancing functional outcomes.
- Careful patient selection is necessary, considering factors like facial hair and defect location.
- Further research may explore modifications to overcome current limitations in lower lip reconstruction.