Summary
Full-thickness lower lip defects most often occur due to tumour resection or injury.
Because the lower lip is important for both eating and speaking, reconstruction of
the region must restore the structure and function of the tissue. Here, we describe
a new procedure to reconstruct the lower lip, using a ‘wing flap’: a mental V–Y rotational
advancement flap that contains the mental nerve. This flap can preserve the sensory
innervation of the lower lip, and it allows effective reconstruction of the muscle
sling. We have employed this method twice and have obtained good aesthetic and functional
outcomes. No special technique is required to reconstruct the lip using this flap,
and it yields a satisfactory outcome. Thus, we recommend it as an effective method
for reconstruction in wide lower lip defects.
Keywords
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References
- Total and partial reconstruction of the lower lip with innervated muscle bearing flaps.Plast Reconstr Surg Transpl Bull. 1960; 25: 360-371
- A new reconstruction technique for full-width, full-thickness defects of the lower lip: the Fusuma sliding flap.Jpn J Plast Reconstr Surg. 2008; 51: 663-668
- Reconstruction of the lower lip with a fan-shaped flap based on the facial artery.Br J Plast Surg. 1984; 37: 52-54
- “Gate flap” for the total reconstruction of the lower lip.Br J Plast Surg. 1980; 33: 340-345
- Double mental neurovascular V-Y island advancement flaps combined with tongue flaps for functionally reconstructing total lower-lip defects.J Craniofac Surg. 2012; 23: 181-183
- Combined tongue flap and V-Y advancement flap for lower lip defects.Br J Plast Surg. 2005; 58: 258-262
- The mental V-Y island advancement flap in functional lower lip reconstruction.Plast Reconstr Surg. 1997; 100: 1682-1690
Article info
Publication history
Published online: May 18, 2012
Accepted:
April 8,
2012
Received:
March 21,
2012
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
