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Related Experiment Videos

Lip reconstruction with local m-shaped composite flap.

Claudio Matteini1, Noemi Mazzone, Guido Rendine

  • 1Belcolle Hospital, Viterbo, Italy. claudiomatteini@libero.it

The Journal of Craniofacial Surgery
|January 15, 2010
PubMed
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Reconstructing lip defects after cancer surgery requires specialized techniques. An M-shaped local composite flap offers a novel approach for lip reconstruction, prioritizing both function and aesthetics.

Area of Science:

  • Plastic Surgery
  • Oncology
  • Reconstructive Surgery

Background:

  • Lip malignancies often necessitate surgical resection, leading to full-thickness defects.
  • Effective lip reconstruction is crucial for restoring both functional and cosmetic outcomes.
  • Existing techniques focus on preserving orbicularis oris muscle integrity and lip sensation.

Purpose of the Study:

  • To present a novel surgical technique for lip reconstruction using an M-shaped local composite flap.
  • To evaluate the functional and aesthetic results of this M-shaped flap reconstruction.
  • To demonstrate the applicability of the technique for both lower and upper lip defects.

Main Methods:

  • Development and application of an M-shaped local composite flap technique.

Related Experiment Videos

  • The flap design involves an incision on the labiomental sulcus with two half-thickness Burrow triangles for tissue transposition.
  • The technique aims to preserve the orbicularis oris muscle, corner of the mouth, and lip sensibility.

    • Main Results:

    • The M-shaped flap facilitates defect closure through tissue transposition.
    • Preservation of the orbicularis oris muscle's orientation ensures functional sphincteric recovery.
    • The technique offers minimal aesthetic impact due to scar camouflage in the labiomental sulcus and preserves lip sensibility.

    Conclusions:

    • The M-shaped local composite flap is an effective technique for lip reconstruction after malignancy resection.
    • This method achieves excellent functional recovery, particularly sphincteric function, and satisfactory aesthetic results.
    • The flap design minimizes alteration to key anatomical structures, ensuring preserved lip function and sensation.