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In 1848, Stein described a method of reconstructing the lower lip with 2 flaps from the centre of the upper lip hinged on the labial vessels (Fig. 1). This method however badly deforms the philtrum. Estlander (1877) described a lateral flap from the upper lip but this tends to divide the commissure and lead to dribbling of saliva.
Kazanjian and Roopenian, 1954described a modification of Stein's operation in which the 2 flaps were taken from each side of the philtrum (Fig. 2); it is useful in smaller defects of the lower lip. For larger defects,i.e. up to 80 per cent of the lower lip, the modification of
- Kazanjian V.H.
- Roopenian A.
The treatment of lip deformities resulting from electric burns.
American Journal of Surgery. 1954; 88: 884
Wexler and Dingman, 1975gives satisfactory results (Fig. 3). Both commissures and the philtrum are preserved. I have used this technique in a number of cases of present 2 to illustrate the method and the results.
- Wexler M.R.
- Dingman R.O.
Reconstruction of the lower lip.
Chirurgica Plastica (Berlin). 1975; 3: 23
- Eine Methode, aus der einen Lippe Substanzverluste der anderen zu ersetzen.Archiv fu¨r klinische Chirurgie. 1872; 14: 622
- The treatment of lip deformities resulting from electric burns.American Journal of Surgery. 1954; 88: 884
- Laebedannelse (cheiloplasty) udfort paa en ny methode.Hospitals-Meddelelser Copenhagen. 1848; i: 212
- Reconstruction of the lower lip.Chirurgica Plastica (Berlin). 1975; 3: 23
© 1980 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.