Arch Plast Surg.  2012 May;39(3):244-248. 10.5999/aps.2012.39.3.244.

Combined Rotation and Advancement Flap Reconstruction for a Defect of the Upper Lip: 2 Cases

• Lee J
• Oh SJ
• Jung SW
• Koh SH

• KMID: 2120668
• DOI: http://doi.org/10.5999/aps.2012.39.3.244

Abstract

Many types of upper lip reconstruction have been introduced to treat defects after a tumor excision or trauma. The authors treated two cases of upper lip defects. A 35-year-old woman presented with a squamous cell carcinoma of the left upper lip that had invaded the corner of the mouth. After resecting the tumor, the defect was 3.7x3.5 cm in size. A 52-year-old woman presented with a dog bite of the right upper lip. The defect measured 4.0x2.2 cm in size. The two cases were reconstructed by combined rotation and advancement of a cheek flap. This technique produced a good functional outcome that allowed for oral competence and created an opening of adequate size. A combination of rotation and an advancement flap can be used to treat upper lip defects in a single-stage procedure. This approach produces a good functional and cosmetic outcome.

Keyword

Surgical flaps; Carcinoma; Lip

MeSH Terms

Adult
Animals
Bites and Stings
Carcinoma, Squamous Cell
Cheek
Cosmetics
Dogs
Female
Humans
Lip
Mental Competency
Middle Aged
Mouth
Surgical Flaps
Cosmetics