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Modification of the position of the angulus oris with a rotation flap and a YV flap in lip reconstruction

  • Kiuchi, Tomoki (Department of Plastic and Reconstructive Surgery, International University of Health and Welfare Hospital) ;
  • Yazawa, Masaki (Department of Plastic and Reconstructive Surgery, Keio University) ;
  • Ohshiro, Takafumi (Department of Plastic and Reconstructive Surgery, Keikoh-kai Ohshiro Clinic) ;
  • Kishi, Kazuo (Department of Plastic and Reconstructive Surgery, Keio University)
  • Received : 2019.10.01
  • Accepted : 2020.01.28
  • Published : 2020.05.15

Abstract

Functionally, the lip serves to prevent food and drink from spilling out of the beginning of the gastrointestinal tract, and it is also used for vocalization. In addition, the lip has cosmetic importance as part of the face involved in making expressions, and in many cultures, it is considered to be sexually appealing. The results of lip reconstruction procedures must therefore be both functionally and cosmetically satisfactory. When the orbicularis oris muscle and oral mucosa are excised, functional reconstruction is prioritized. In contrast, if there are no functional problems, cosmetic reconstruction is the main focus. This case involved the reconstruction of a right upper lip defect caused by a dog bite. When the skin defect was covered with a local flap, the right angulus oris shifted medially, so we incorporated a YV flap at the right angulus oris to modify its position and allow for a cosmetically satisfactory result. We believe that this method can be used not only for cases in which asymmetry of the angulus oris is expected to occur at the time of lip reconstruction, but also for cases in which it has already occurred in the initial operation.

Keywords

References

  1. Oseni OG, Fadare AE, Majaro MO, et al. Total reconstruction of the upper lip using bilateral nasolabial flaps, submental flap, and mucosa graft following complete resection for squamous cell carcinoma. Case Rep Surg 2015;2015:782151.
  2. Massa AF, Otero-Rivas M, Gonzalez-Sixto B, et al. Combined cutaneous rotation flap and myomucosal tongue flap for reconstruction of an upper lip defect. Actas Dermosifiliogr 2014;105:869-71. https://doi.org/10.1016/j.ad.2014.01.009
  3. Lee J, Oh SJ, Jung SW, et al. Combined rotation and advancement flap reconstruction for a defect of the upper lip: 2 cases. Arch Plast Surg 2012;39:244-8. https://doi.org/10.5999/aps.2012.39.3.244
  4. Nyame TT, Pathak A, Talbot SG. The abbe flap for upper lip reconstruction. Eplasty 2014;14:ic30.
  5. Griffin GR, Weber S, Baker SR. Outcomes following V-Y advancement flap reconstruction of large upper lip defects. Arch Facial Plast Surg 2012;14:193-7. https://doi.org/10.1001/archfaci.2012.35
  6. Narsete TA. V-Y advancement flap in upper-lip reconstruction. Plast Reconstr Surg 2000;105:2464-6. https://doi.org/10.1097/00006534-200006000-00026
  7. Nguyen DT, Oki K, Hyakusoku H, et al. Upper lip basal cell carcinoma reconstruction based on anatomical characteristics using skin-mucosa double opposing V-Y advancement flap. Eplasty 2011;11:e26.
  8. Lee DE, Hur SW, Lee JH, et al. Central lip lift as aesthetic and physiognomic plastic surgery: the effect on lower facial profile. Aesthet Surg J 2015;35:698-707. https://doi.org/10.1093/asj/sjv068
  9. Gao Y, Niddam J, Noel W, et al. Comparison of aesthetic facial criteria between Caucasian and East Asian female populations: an esthetic surgeon's perspective. Asian J Surg 2018; 41:4-11. https://doi.org/10.1016/j.asjsur.2016.07.007
  10. Rossetti A, De Menezes M, Rosati R, et al. The role of the golden proportion in the evaluation of facial esthetics. Angle Orthod 2013;83:801-8. https://doi.org/10.2319/111812-883.1