Interposition fascia lata sheet free graft and a composite V-Y advancement flap to correct functional incompetence of the oral sphincter

Interposition fascia lata sheet free graft and a composite V-Y advancement flap to correct... Large total or subtotal defects of the lower lip pose a significant challenge for the reconstructive surgeon. The functional reconstructing of the oral sphincter is critical for oral competence and prevention of drooling, improving speech, and eating as well as for esthetic aspects. The authors present a case of a large partial thickness defect of the lower lip and chin following an excision of a neglected basal cell carcinoma. The defect was reconstructed with an anterolateral thigh free flap. Subsequently, due to oral incompetence and lip ectropion, a tensioned interposition unfurled sheet of fascia lata free graft and a composite V-Y advancement flap were utilized to reconstruct the continuity of the oral ring and correct the lower lip ectropion. The procedure resulted in a satisfactory dynamic functional oral sphincter together with a pleasing esthetic result. Level of Evidence: Level V, therapeutic study http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Interposition fascia lata sheet free graft and a composite V-Y advancement flap to correct functional incompetence of the oral sphincter

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Publisher
Springer-Verlag
Copyright
Copyright © 2013 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-012-0801-4
Publisher site
See Article on Publisher Site

Abstract

Large total or subtotal defects of the lower lip pose a significant challenge for the reconstructive surgeon. The functional reconstructing of the oral sphincter is critical for oral competence and prevention of drooling, improving speech, and eating as well as for esthetic aspects. The authors present a case of a large partial thickness defect of the lower lip and chin following an excision of a neglected basal cell carcinoma. The defect was reconstructed with an anterolateral thigh free flap. Subsequently, due to oral incompetence and lip ectropion, a tensioned interposition unfurled sheet of fascia lata free graft and a composite V-Y advancement flap were utilized to reconstruct the continuity of the oral ring and correct the lower lip ectropion. The procedure resulted in a satisfactory dynamic functional oral sphincter together with a pleasing esthetic result. Level of Evidence: Level V, therapeutic study

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Apr 1, 2013

References

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