Double mental neurovascular V-Y island advancement flaps combined with tongue flaps for functionally reconstructing total lower-lip defects

The Journal of Craniofacial Surgery
Wei-Liang ChenDa-ming Zhang

Abstract

Although several techniques have been described for lower-lip reconstruction, functional reconstruction of total lower-lip defects remains a challenge. This study investigated a functional reconstruction technique for total lower-lip defects. Nine lower-lip defects were reconstructed after cancer ablation using double mental V-Y island advancement flaps, based on mental neurovascular bundle combined with tongue flaps. All flaps survived completely. The patients were followed up for 6 to 20 months. The lip function and sensation were normal, and aesthetic appearance was satisfactory. No patient developed local recurrence or lymphatic metastasis. The technique of combining a double mental neurovascular V-Y island advancement flap with a lingual mucosal membrane flap is ideal for the functional repair of total lower-lip defects after cancer ablation.

References

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Citations

Mar 19, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Qi-Gen FangChang-Fu Sun
May 23, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yumiko UchikawaKazuo Kishi
Dec 1, 2017·Plastic and Reconstructive Surgery. Global Open·Natsuko KakudoKenji Kusumoto
Aug 31, 2019·The Journal of Craniofacial Surgery·Zhao-Hui YangWei-Liang Chen
Jun 28, 2013·Annals of Plastic Surgery·Bulent Sacak, Raffi Gurunluoglu

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