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Upper lip reconstruction with local island flap after neoplasm excision
A Włodarkiewicz1, E Wojszwiłło-Geppert, W Placek
1Dermatosurgery Department of the Dermatological Clinic, Medical University of Gdańsk, Poland.
Summary
Upper lip reconstruction using island flaps offers excellent functional and aesthetic outcomes for facial defects. This method proved effective in most cases, with minimal complications for patients.
Area of Science:
- Dermatologic Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- The upper lip is a critical facial aesthetic unit.
- Reconstruction of upper lip defects presents significant surgical challenges.
Purpose of the Study:
- To evaluate the efficacy of single island subcutaneously pedicled flaps for upper lip reconstruction.
- To assess outcomes when combined with additional local flaps for moderate-sized defects.
Main Methods:
- Surgical reconstruction of thirteen patients, primarily for skin malignancies.
- Individualized island flaps designed for facial aesthetic units to cover skin-only defects.
- Combined island flaps and separate vermilion-reconstructing flaps for full-thickness defects.
Main Results:
- Successful reconstruction with good functional and aesthetic results in most patients.
- One case experienced partial flap necrosis, indicating a low complication rate.
- Positive outcomes observed during follow-up evaluations.
Conclusions:
- Single island subcutaneously pedicled flaps are a reliable technique for upper lip reconstruction.
- This method achieves satisfactory functional and aesthetic results for moderate defects.
- The technique is suitable for defects involving skin and/or vermilion, including those from skin cancer excision.