The authors report on the use of myo-mucous flaps with V-Y advancement for reconstruction of the median and paramedian sections of the vermilion. Loss of substance between 2.0 and 2.5 cm and limited to the vermilion with involvement of superficial muscle planes can be reconstructed with one or two opposing sliding island flaps of the remaining vermilion, based on their neurovascular pedicles. Based on the work of Kapetansky, and the subsequent modifications of Sakai, Goldstein, Ohtsuka and Boggio Robutti, the authors used their technique in seven patients with carcinoma in situ, minimally infiltrating carcinomas and precancerous lesions. This technique allows the reestablishment of the anatomical structures present before the excision and the preservation of their function. The obtained results were satisfactory both from the aesthetic and functional points of view.
Vermilion flaps for lip reconstruction after oncological surgery
Alfano C.;
1994-01-01
Abstract
The authors report on the use of myo-mucous flaps with V-Y advancement for reconstruction of the median and paramedian sections of the vermilion. Loss of substance between 2.0 and 2.5 cm and limited to the vermilion with involvement of superficial muscle planes can be reconstructed with one or two opposing sliding island flaps of the remaining vermilion, based on their neurovascular pedicles. Based on the work of Kapetansky, and the subsequent modifications of Sakai, Goldstein, Ohtsuka and Boggio Robutti, the authors used their technique in seven patients with carcinoma in situ, minimally infiltrating carcinomas and precancerous lesions. This technique allows the reestablishment of the anatomical structures present before the excision and the preservation of their function. The obtained results were satisfactory both from the aesthetic and functional points of view.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
