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A method for reconstruction of vermilion tubercle
Li-Jun Wu1, Tian-Lan Zhao1, Dao-Jiang Yu1
1Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Suzhou University, Suzhou, China.
Plastic and Reconstructive Surgery. Global Open
|October 8, 2014
Summary
Bilateral lip mucosa flaps (BLMFs) effectively reconstruct the vermilion tubercle in secondary cleft lip deformities. This simple technique offers reliable cosmetic and functional improvements with minimal scarring.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Reconstructive Surgery
Background:
- Cleft lip deformities often require secondary reconstruction.
- The vermilion tubercle is a key aesthetic and functional component of the lip.
Purpose of the Study:
- To evaluate the efficacy of bilateral lip mucosa flaps (BLMFs) for vermilion tubercle reconstruction.
- To assess cosmetic and functional outcomes in patients with secondary cleft lip deformities.
Main Methods:
- Retrospective review of 34 patients undergoing BLMFs for secondary cleft lip deformities (2005-2013).
- Analysis of pre-, intra-, and postoperative data.
Main Results:
- All 34 patients achieved satisfactory cosmetic and functional results.
- Mean increase in vermilion tubercle projection of 151%.
- Minimal complications, good tissue match, and inconspicuous scars.
Conclusions:
- Bilateral lip mucosa flaps (BLMFs) are a simple, versatile, and reliable technique.
- BLMFs offer an effective solution for secondary cleft lip vermilion tubercle reconstruction.

