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A Modified Single-Step Method to Repair a Central Defect of the Upper Lip
Carlos Moreno García1, Raúl González-García1, Manuel Moreno-Sánchez1
1Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Calle Fernando Sánchez Sampedro, No. 4, P8, 4º B, CP: 06003 Badajoz, Spain ; University of Extremadura (UEx) School of Medicine, Badajoz, Spain.
Introduction:
Defects in the central region of the upper lip are difficult to repair.
Discussion:
Several techniques have been described, many of them requiring a second surgical procedure to obtain acceptable aesthetic results.
Case Report:
A patient with a soft defect in the central region of the upper lip following aggression by human bite is presented. To repair the defect, the principles described by Goldstein for lateral lip defects were used (Goldstein in Plast Reconstr Surg 85(3):446-452, 1990; Robotti et al. in J Plast Reconstr Aesthet Surg 63:431-439, 2010).
Conclusion:
In this particular case, two full-thickness advancing miomucosal flaps from the vermilion of the upper lip were used with predictable aesthetic results.
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