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The subcutaneous pedicle flap in melolabial reconstruction
T J Rustad1, D O Hartshorn, R A Clevens
1Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor 48109, USA.
Objective:
To review and report our experience with the subcutaneous pedicle flap in the reconstruction of defects adjacent to the melolabial crease.
Design:
Retrospective review.
Setting:
Cutaneous surgery unit of an academic tertiary referral center.
Patients:
One hundred nine patients with defects of the lateral aspect of the upper lip, the medial aspect of the cheek, and the melolabial crease after Moh excision of cutaneous lesions.
Conclusions:
In our experience, the subcutaneous pedicle advancement flap is often ideally suited to the reconstruction of cutaneous defects adjacent to the melolabial crease. We have been particularly satisfied with the results of this reconstructive technique when addressing deep defects adjoining the alar facial sulcus in patients with full cheeks.