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Bipedicled submental island flap for upper lip reconstruction
T Kitazawa1, T Harashina, H Taira
1Department of Plastic and Reconstructive Surgery, Shinshu University, Matsumoto, Japan.
Annals of Plastic Surgery
|February 11, 1999
Summary
Reconstructing the upper lip using a bipedicled submental flap offers abundant arterial supply and excellent aesthetic match. This technique is superior for mustache and beard reconstruction in male patients.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Head and Neck Surgery
Background:
- Upper lip defects present reconstructive challenges.
- Facial reconstruction requires flaps with adequate vascularity and aesthetic compatibility.
- Submental flaps are a potential option for facial reconstruction.
Observation:
- A case study details upper lip reconstruction using a bipedicled submental flap.
- The flap's mobility was initially restricted.
- Converting to a bipedicled flap ensured abundant arterial blood supply.
Findings:
- The bipedicled submental flap provided a good color and texture match to the facial skin.
- This flap technique demonstrated superior outcomes compared to other methods for mustache and beard reconstruction.
- Adequate vascularity was achieved through the bipedicled design.
Implications:
- The bipedicled submental flap is a viable and aesthetically advantageous option for upper lip reconstruction, particularly in males requiring mustache or beard restoration.
- This surgical modification enhances flap viability and functional outcomes.
- Further studies may explore long-term results and broader applications.