Reconstruction of an upper lip vermilion defect with a mucosal V-Y advancement flap: a case report

• 발행기관: 대한구강악안면외과학회
• 저자명: Gyu-Jo Shim Hyun-Woo Yoon Dohyoung Kim Tae-Geon Kwon
• 간행물 정보: 『대한구강악안면외과학회지』제50권 제4호, 222~226쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2024.08.31

국문 초록

The upper lip is a functionally and aesthetically important area of the face. Therefore, reconstruction of an upper lip defect needs sufficient consideration to ensure functional and aesthetic recovery. Several methods, such as wedge resection, rotation flaps, advancement flaps, and myomucosal advancement flaps, have been used to reconstruct vermilion defects. However, it is challenging to reconstruct a vermilion defect because of the possibility of residual asymmetry or scars and restrictions to normal lip movement after the reconstruction. We present the case of a 51-year-old female that had an upper lip vermilion defect caused by a dog bite. The lip defect was reconstructed using a mucosal V-Y advancement flap. This mucosal flap was based on the orbicularis oris muscle with a branch of the superior labial artery to ensure sufficient blood supply. Therefore, flap survival was excellent, and there was no constriction of the flaps. Moreover, the color and contour were matched to the adjacent lip tissue, and re-establishment of the white roll and adequate lip volume were achieved. This mucosal V-Y advancement flap technique represents a reliable method to repair mucosal defects without vascular compromise of the flap.

목차

Ⅰ. Introduction

Ⅱ. Case Report

Ⅲ. Discussion

ORCID

Authors’ Contributions

Funding

Ethics Approval and Consent to Participate

Consent for Publishing Photographs

Conflict of Interest

References

키워드

Lip Mouth mucosa Myocutaneous flap Reconstructive surgical procedures