TY - JOUR
T1 - Total lower lip reconstruction
AU - Liu, Terry C.
AU - Fliss, Dan M.
AU - Freeman, Jeremy L.
PY - 1992
Y1 - 1992
N2 - With any extensive ablative surgery of the face, the goals of reconstruction include both the restoration of function and a pleasing cosmetic appearance. When such surgery involves the lower lip, the improvement of function assumes a greater importance because the lower lip has a major role in oral competence. Most of the techniques described for the reconstruction of the lower lip involve the use of local flaps. However, local flaps do not always provide either optimal function or cosmesis. This article describes a combination of a pedicle flap of the scalp, based on the superficial temporal artery, with three local flaps in order to totally reconstruct the lower lip. This combination has features not offered by local or distant flaps alone; in addition to bringing in tissue with an excellent blood supply, a large amount of cover is available to correct the defect; it also allows the growth of a beard to camouflage the surgery and thus greatly improve the cosmetic result.
AB - With any extensive ablative surgery of the face, the goals of reconstruction include both the restoration of function and a pleasing cosmetic appearance. When such surgery involves the lower lip, the improvement of function assumes a greater importance because the lower lip has a major role in oral competence. Most of the techniques described for the reconstruction of the lower lip involve the use of local flaps. However, local flaps do not always provide either optimal function or cosmesis. This article describes a combination of a pedicle flap of the scalp, based on the superficial temporal artery, with three local flaps in order to totally reconstruct the lower lip. This combination has features not offered by local or distant flaps alone; in addition to bringing in tissue with an excellent blood supply, a large amount of cover is available to correct the defect; it also allows the growth of a beard to camouflage the surgery and thus greatly improve the cosmetic result.
UR - http://www.scopus.com/inward/record.url?scp=85025416562&partnerID=8YFLogxK
U2 - 10.1016/S1043-1810(10)80259-3
DO - 10.1016/S1043-1810(10)80259-3
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AN - SCOPUS:85025416562
SN - 1043-1810
VL - 3
SP - 143
EP - 145
JO - Operative Techniques in Otolaryngology - Head and Neck Surgery
JF - Operative Techniques in Otolaryngology - Head and Neck Surgery
IS - 2
ER -