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The transposition advancement flap for repair of postsurgical defects on the upper lip
1University of Bern, Inselspital, Bern, Switzerland. skaria@vtxnet.ch
Background:
Skin cancer of the lip is frequent, and reconstruction after Mohs surgery might be challenging mostly when the postsurgical defect has a size of more than 1 cm(2) and is situated adjacent to the philtrum.
Objective:
We present a combination of a transposition and advancement flap for the reconstruction of postsurgical defects of the upper lip.
Methods:
Demonstration of the technique and practical application for this kind of reconstruction.
Results:
The transposition advancement flap (TAF) presents excellent results for medium defects of the upper lip medially adjacent to the philtrum.
Conclusion:
The TAF can be used in the reconstruction of the major part of postsurgical lip defects in the medial two fifths of the upper lip without any risk of lip distortion. As this flap is easy to perform, it is an important tool in the armamentarium of the dermatologic surgeon.
