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Reconstruction upper lip

Jyotsna Murthy
Aim: Repair of cleft lip aims to bring symmetry and provide normal aesthetics for the lip. Several techniques have been employed; however, the finer aspect of median lip tubercle has not been emphasised in cleft lip repair. Materials and Methods: We have modified cleft lip repair, both unilateral and bilateral, preserving all the tissues of the median tubercle to provide normal-looking median tubercle of the lip. The modified technique was carried out by a single surgeon on 322 cases of unilateral cleft lip and 68 cases of bilateral cleft lip...
May 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Lara Valentina Comini, Giuseppe Spinelli, Giuditta Mannelli
PURPOSE: Local flaps are currently considered the main reconstructive option for medium-size oral and peri-oral defects; however, their indications are sometimes challenging to select. The aim of this study was to critically analyse their selection and to propose a therapeutic algorithm. MATERIALS AND METHODS: We performed a search on PubMed regarding the medium-size oral and peri-oral defects reconstruction, and we collected data on the aetiology, the location of the defect, the type of flap used and postoperative complications...
October 6, 2018: Journal of Cranio-maxillo-facial Surgery
Songsu Kang, Keisuke Imai, Takeshi Masuoka, Daisuke Sakahara, Koji Kawamoto, Jumpei Tsumoto
Reports of median cleft lip with nasal anomalies are few, and descriptions of concomitant surgical repair of a median cleft lip and bifid nose deformity are similarly rare. These surgical repair techniques mainly involve the use of normal neighboring structures. Reconstruction of the columella and nasal base is especially important. A new surgical procedure was examined using bilateral cleft margin flaps for patients with a rare median cleft lip. Two patients with a rare median cleft lip were indicated for the procedure...
November 9, 2018: Journal of Craniofacial Surgery
Guo Jun, Fei Wei, Liu Tong, Huang Yi, Zhou Hao, Li Shuang Jun
BACKGROUND: It is hardly to reconstruct a huge defect of lower lip by using of partial flap which brings no mouth closing functional problem. In this study, we would like to introduce our experience in large full-thickness vermilion and lower lip/chin defects reconstruction, and also focus on the evaluation of the surgery effects. METHODS: The large lower lip and chin (include vermilion) reconstruction were performed in Sichuan Provincial People's Hospital (2012-2015)...
October 29, 2018: Journal of Craniofacial Surgery
Pavla Zedníková Malá, Václav Krajíček, Jana Velemínská
Correlations between facial bony structures and soft facial features are fundamental for facial approximation methods The purpose of this study was to assess the strength of the association between craniofacial shape and the shape of the soft-tissue profile and to determine the extent to which it might be possible to predict the latter from the former. Soft-tissue and skeletal facial profile curves were extracted from 86 lateral head cephalograms of a recent Central European population (52 males and 34 females, aged between 19 and 43 years), divided into five parts, segmented automatically and evaluated using geometric morphometrics...
September 26, 2018: Forensic Science International
Maycon Lázaro Pinheiro, Marília Yatabe, Marcos Ioshida, Luan Orlandi, Priscille de Dumast, Ivy Kiemle Trindade-Suedam
OBJECTIVE: The aim of this study was to assess the accuracy of volumetric reconstruction of the pharynx by comparing the volume and minimum crosssectional area (mCSA) determined with open-source applications (ITK-Snap, ; SlicerCMF) and commercial software (Dolphin3D, 11.8, Dolphin Imaging & Management Solutions, Chatsworth, CA, USA) previously validated in the literature. MATERIAL AND METHODS: The sample comprised of 35 cone-beam computed tomography (CBCT) scans of patients with unilateral cleft lip and palate, with mean age of 29±15...
October 4, 2018: Journal of Applied Oral Science: Revista FOB
Lavinia E Chiti, Vincenzo Montinaro, Marta L P Lisi, Andrea G Asta, Silvia Marches, Paolo Sommaruga, Federico Massari
OBJECTIVE: To describe a local interpolation flap based on the upper lip for the reconstruction of the dorsal aspect of the nasal plane in dogs. STUDY DESIGN: Ex vivo and in vivo case report. ANIMALS: A 2-year-old medium-sized spayed female mixed-breed dog and a canine cadaver of a medium-sized mixed-breed dog. METHODS: A dorsal defect of the nasal plane of uncertain origin in a dog was reconstructed with a unilateral interpolation flap obtained from the caudal upper lip skin and mucosa (lip-to-nose flap)...
November 2018: Veterinary Surgery: VS
Shuai Wang, Zeliang Zhang, Zhongfei Xu, Weiyi Duan
BACKGROUND: For reconstructive surgeons, massive midface defects, including large, full-thickness wounds on the upper lip, can be very challenging. Although there are many methods for reconstruction of upper lip defects, it is difficult to obtain satisfactory restoration of oral functions and good cosmetic results. CASE PRESENTATION: This case report presents a man with massive midface defects, including upper lip, left nose, and cheek defects. Over the previous 2 years, the patient had three reconstructions with sequential free flaps for the resection of recurrent tumors, the first of which was in March of 2016; this resulted in the patient having massive midface defects, including an upper lip defect, a defect on the left side of the nose, and one on the left cheek...
September 28, 2018: World Journal of Surgical Oncology
A Quast, J Waschkau, J Saptschak, N Daratsianos, K Jordan, P Fromberger, J L Müller, P Meyer-Marcotty
OBJECTIVE: This study aimed to assess adults' subjective perception of infants with a unilateral cleft lip and palate (UCLP) with and without a nasoalveolar molding (NAM) appliance compared to those of controls concerning (1) adult gaze patterns and (2) emotional valence. METHODS: This interdisciplinary study was performed by (1) the Department of Orthodontics and (2) the Department for Psychiatry and Psychotherapy, University Medical Center Goettingen, using eye tracking and a 10-point Likert scale questionnaire...
September 12, 2018: Journal of Orofacial Orthopedics, Fortschritte der Kieferorthopädie
Tian Li, Ying Shao, Quan Lin, Duo Zhang
RATIONALE: Recurrent symblepharon is very difficult to cure. Techniques applied in symblepharon with no recurrence or low recurrent rate is rare and vital. PATIENTS CONCERNS: A 12-year-old boy with severe symblepharon caused by firework underwent 2 surgeries for treating severe symblepharon. But both surgeries were failed and symblepharon recurred. DIAGNOSIS: He was diagnosed with conjunctival sac defect and recurrent symblepharon. INTERVENTION: The patient received reconstruction with mucosal grafts and a reversed split-thickness skin graft, and suture upper and lower eyelids for 10 days...
August 2018: Medicine (Baltimore)
Jerry Tsung-Kai Lin, Johnny Chuieng-Yi Lu, Tommy Nai-Jen Chang, David Chwei-Chin Chuang
BACKGROUND: Functioning free muscle transplantation (FFMT) is currently the gold standard for the reconstruction of facial paralysis, focusing more on the upper lip reconstruction rather than the lower lip. This study aimed to compare different lower lip reconstructive methods when performing FFMT for facial reanimation. MATERIALS AND METHODS: Retrospective review of FFMT for facial reanimation from 2007 to 2015 was performed. Patients were divided into three groups: Group 1 (n=15), a free plantaris tendon graft anchored to the gracilis muscle was passed into the lower lip to create a loop within; Group 2 (n=12), an aponeurosis tail of the gracilis muscle was attached to the lower lip; Group 3 (n=18), no suspension of lower lip was performed...
August 11, 2018: Plastic and Reconstructive Surgery
Amir Ali Mafi, Reza Shahverdiani, Parviz Mafi
BACKGROUND: Proper pre-operative facial analysis that includes a thorough evaluation of both the bony and soft tissue anatomy is paramount to success in performing aesthetic surgery of the face. Ethnic variations in soft tissue profile add an important variable to pre-operative facial analysis. The aim of our study was to determine the role of ethnic variations in soft tissue facial profiles through profile analysis of Iranian male and female patients. METHODS: Photographs of 100 Iranian males and 100 Iranian females (16 to 40 years old) were carried out...
May 2018: World Journal of Plastic Surgery
M Tuersunjiang, X Long, Y Fu, J Ke, H He, J Li
The normal commissure is not a simple joint of the upper and lower lip, but a triangular mucosal area. To reconstruct a symmetrical oral commissure in patients with a unilateral transverse facial cleft, we designed composite vermilion flaps, including triangular flaps. We retrospectively studied 17 patients with unilateral transverse facial clefts from 2013-2016. Three-dimensional images were obtained with a 3-dimensional photogrammetry system at the 1-year follow-up, and we used an anthropometric method to evaluate the postoperative symmetry of the commissure...
September 2018: British Journal of Oral & Maxillofacial Surgery
Nor Shahab, Cagla Sar, Mesut Sarac, Nejat Erverdi
This case report presents an early clinical evaluation of a patient with bilateral cleft lip and palate (CLP) treated with ArchWise Distraction Osteogenesis Technique and Appliance. A 16-year-old patient with a bilateral CLP had a chief complaint of missing upper anterior teeth and poor aesthetics. The patient had class III skeletal and dental relationships, maxillary hypoplasia, maxillary posterior arch constriction, premaxillary deficiency, multiple missing teeth due to an alveolar cleft, and a concave profile...
January 1, 2018: Cleft Palate-craniofacial Journal
Rotem Tzur, Alexander Bogdanov Berezovsky, Yuval Krieger, Yaron Shoham, Eldad Silberstein
The nose is an important landmark of the face and its shape and beauty is of significant concern. The columella is the subunit between the two nostrils that provides support and projection to the nasal tip and has functional role in nostrils, as well as aesthetic. Ethiology for columellar absence or deficiency is diverse, and it is one of the most complex nasal subunits to reconstruct because of its narrow horizontal dimension, its tenuous vascularity and limited availability of adjacent tissue. We present a patient with columellar, membranous septum and upper lip defect, due to oncological resection...
June 2018: Archives of Craniofacial Surgery
Hristo Shipkov, Penka Stefanova, Karen Djambazov, Angel Uchikov
No abstract text is available yet for this article.
July 2018: Plastic and Reconstructive Surgery
Soo-Ha Kwon, Che-Hsiung Lee, Angela Ting-Wei Hsu, Mark Shafarenko, Usama Farghaly Omar, Chieh-Han Tzou, Julia Roka-Palkovits, Aldo G Beltrán P, Dimitri Liakos, Tommy Nai-Jen Chang
No abstract text is available yet for this article.
July 2018: Journal of Reconstructive Microsurgery
Eugénia Matos-Pires, Cândida Fernandes, Alexandre João, Rodrigo Carvalho
No abstract text is available yet for this article.
2018: Skinmed
Abel Gonzalez, Dardo Etchichury
INTRODUCTION: Lower lip reconstruction should restore oral competence, speech, and cosmesis. These goals are a challenge when reparing large lower lip defects. Karapandzic flap is a reliable technique with consistent functional and esthetic outcome. In large defects, it might result in disproportion between the upper and lower lips and blunting of the commissures. The Abbe flap is useful as a lip balancing procedure and avoids the rounding of the commissures. PATIENTS AND METHODS: Five cases of lower lip skin cancer treated with Mohs surgery with defects up to 80% were reconstructed with a combination of Karapandzic and Abbe flaps...
October 2018: Annals of Plastic Surgery
Jorga Zabojova, Nikhitha Thrikutam, Philip Tolley, Justin Perez, Shai M Rozen, Andres Rodriguez-Lorenzo
BACKGROUND: The human smile is a complex coordinated activity of mimetic muscles predominantly recognizable by a superolateral pull at the commissure and elevation of the upper lip. The aim of this study was to revisit the muscles of facial expression responsible for these motions, evaluate their relational anatomy and orientation, and relate this to optimal positioning of free muscle transfer in smile reanimation. METHODS: Nineteen hemifaces from fresh cadaveric specimens were dissected...
August 2018: Annals of Plastic Surgery
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