Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Reconstruction of a small defect of the lower vermilion adjacent to white roll using a modified O-Z flap

  • Kim, Hong Il (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital) ;
  • Kim, Ho Sung (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital) ;
  • Park, Jin Hyung (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital) ;
  • Yi, Hyung Suk (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital) ;
  • Kim, Yoon Soo (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital) ;
  • Kim, Hyo Young (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital)
  • Received : 2021.04.11
  • Accepted : 2021.06.20
  • Published : 2021.06.20
Download PDF
⟨ Previous Next ⟩

Abstract

Reconstruction of lip defects is important because the lips play an important role in maintaining aesthetic facial balance, facial expressions, and speech. There are various methods of lip reconstruction such as primary repair, skin grafting, and utilization of local and free flaps. It is important to select a proper reconstruction method according to the size and location of lip defect. Failure to select an appropriate method may result in distortion, color mismatch, sensory loss, and aesthetic imbalance. Herein we present a case of successful aesthetic reconstruction of the lower vermilion. We removed a venous malformation, which was limited to the lower vermilion and adjacent to the white roll, and repaired the defect using the modified O-Z flap.

Keywords

References

  1. Nabili V, Knott PD. Advanced lip reconstruction: functional and aesthetic considerations. Facial Plast Surg 2008;24:92-104. https://doi.org/10.1055/s-2007-1021892
  2. Pribaz JJ, Meara JG, Wright S, Smith JD, Stephens W, Breuing KH. Lip and vermilion reconstruction with the facial artery musculomucosal flap. Plast Reconstr Surg 2000;105:864-72. https://doi.org/10.1097/00006534-200003000-00007
  3. Chang CS, Wong A, Rohde CH, Ascherman JA, Wu JK. Management of lip hemangiomas: Minimizing peri-oral scars. J Plast Reconstr Aesthet Surg 2012;65:163-8. https://doi.org/10.1016/j.bjps.2011.08.033
  4. Ozdemir R, Ortak T, Kocer U, Celebioglu S, Sensoz O, Tiftikcioglu YO. Total lower lip reconstruction using sensate composite radial forearm flap. J Craniofac Surg 2003;14:393-405. https://doi.org/10.1097/00001665-200305000-00020
  5. Zilinsky I, Winkler E, Weiss G, Haik J, Tamir J, Orenstein A. Total lower lip reconstruction with innervated muscle-bearing flaps: a modification of the Webster flap. Dermatol Surg 2001;27:687-91. https://doi.org/10.1097/00042728-200107000-00018
  6. Yotsuyanagi T, Yokoi K, Urushidate S, Sawada Y. Functional and aesthetic reconstruction using a nasolabial orbicularis oris myocutaneous flap for large defects of the upper lip. Plast Reconstr Surg 1998;101:1624-9. https://doi.org/10.1097/00006534-199805000-00031
  7. Lee TS, Murakami CS, Suryadevara AC. Tissue conservation using circular defect with dog-ear deformities excision technique. Laryngoscope 2011;121:2299-304. https://doi.org/10.1002/lary.22170
  8. Coppit GL, Lin DT, Burkey BB. Current concepts in lip reconstruction. Curr Opin Otolaryngol Head Neck Surg 2004;12:281-7. https://doi.org/10.1097/01.moo.0000130574.03032.e2
  9. Sand M, Altmeyer P, Bechara FG. Mucosal advancement flap versus primary closure after vermilionectomy of the lower lip. Dermatol Surg 2010;36:1987-92. https://doi.org/10.1111/j.1524-4725.2010.01762.x
  10. Kim JH, Ahn CH, Kim S, Lee WS, Oh SH. Effective method for reconstruction of remaining lower lip vermilion defect after a mental V-Y advancement flap. Arch Craniofac Surg 2019;20:76-83. https://doi.org/10.7181/acfs.2018.01984
  11. Jun G, Wei F, Tong L, Yi H, Hao Z, Jun LS. Aesthetic and functional evaluation of large full-thickness vermilion and lower lip defects reconstruction. J Craniofac Surg 2019;30:e36-9. https://doi.org/10.1097/SCS.0000000000004952
  12. Buckingham ED, Quinn FB, Calhoun KH. Optimal design of O-to-Z flaps for closure of facial skin defects. Arch Facial Plast Surg 2003;5:92-5. https://doi.org/10.1001/archfaci.5.1.92
  13. Rahim RR, Gardner LS, Langtry JA. Oval-to-Z flap: a novel option in cutaneous reconstruction. Dermatol Surg 2013;39:1398-400. https://doi.org/10.1111/dsu.12273