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The neurotised estlander flap for lip reconstruction
Marco Correia Duarte1, Dariush Nikkhah1, Norbert Kang1
1Department of Plastic Surgery, Royal Free Hospital NHS Trust, Pond Street, NW3 2QG, United Kingdom.
JPRAS Open
|December 18, 2020
Summary
A modified Estlander flap preserves nerve function for lip reconstruction, potentially improving sensation and oral competence after surgery. This technique enhances functional outcomes for patients with lip defects involving the oral commissure.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oral and Maxillofacial Surgery
Background:
- The Estlander flap is a standard lip-switch technique for lip defects including the oral commissure.
- Existing methods may not fully restore sensation or muscle function.
Purpose of the Study:
- To describe a neurotised modification of the Estlander flap.
- To evaluate potential functional advantages, including sensation and oral competence.
Main Methods:
- A modified axial-pattern flap technique was developed.
- Preservation of mental nerve branches to the lip and facial nerve branches to the orbicularis oris muscle within the flap.
Main Results:
- The described modification aims to preserve nerve supply to the reconstructed lip.
- This neurotisation may lead to improved sensory feedback and better oral sphincter function.
Conclusions:
- A neurotised Estlander flap offers a promising approach for lip reconstruction.
- This technique may enhance functional recovery, particularly oral competence and sensation.
