Management of lip deformities following free-flap reconstruction for head and neck
cancer represents a particular challenge. Ideal restoration must provide not only
mucosal lining and outer skin, but must also reestablish a labial sulcus and adequate
oral sphincter function to prevent drooling.
,
While commissure reconstruction can be attempted by vermillion advancement or other
local flaps, the limitation of many of these approaches lies in the failure to create
an adequate sulcus and provide for enough lower lip support.
3
We therefore describe a novel technique for secondary commissuroplasty and lip revision
using a commissure-based triangular flap and anterior z-plasty following anterolateral
thigh free-flap reconstruction for a large perioral defect.To read this article in full you will need to make a payment
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References
- Reconstruction of the lower lip.Clin Plast Surg. 1995; 22: 109-121
- Reconstruction of the lower lip.Br J Plast Surg. 1983; 36: 40-47
- Reconstruction of perioral defects following resection for oral squamous cell carcinoma.J Oral Maxillofac Surg. 2006; 64: 367-374
- Recontouring commissuroplasty after reconstruction of large defects after resections for head and neck cancer with commissure involvement using an anterolateral thigh flap.Scand J Plast Reconstr Surg Hand Surg. 2009; 43: 256-259
- Reconstruction of concomitant lip and cheek through-and-through defects with combined free flap and an advancement flap from the remaining lip.Plast Reconstr Surg. 2004; 113: 491-498
Article info
Publication history
Published online: September 26, 2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
