NEW APPLICATION FOR THE BITEMPORAL (VISOR) FLAP IN RECONSTRUCTION OF ADVANCED LOWER LIP CARCINOMA
نویسندگان
چکیده مقاله:
Background: Lip carcinoma is a common cancer with a good prognosis and when patients refer early in the course of disease the results of treatment are acceptable. Surgical procedures for reconstruction of lip defects are the use of remaining lip tissue, tissue from the opposite lip, adjacent cheek tissue, distant flaps and microvascular free flaps. The bitemporal (visor) flap is a regional flap that is used in large advanced upper lip lesions. This study shows that it can be used in the reconstruction of total lower lip lesions. It is in the same operative field, the defect can be covered in the same operation, spread of disease is detected more easily, and it can camouflage the scar. In male patients it is very acceptable aesthetically and multiple surgical teams are not required. Methods: Two patients with advanced lower lip squamous cell carcinoma were operated and the defect reconstructed with a bitemporal (visor) flap. After the hair is shaved, a bipedicle temporal flap including the major branch of the superficial temporal artery was swung in two portions over the defect, and a split-thickness skin graft used to cover the donor site. Results: Both patients had no major problem with deglutition or speech after sectioning the pedicles. Conclusion: The bipedicle temporal flap can be used for reconstruction of midface defects. There is no report of! ower lip reconstruction with the bitemporal flap. This study shows that the bitemporal flap can be used in reconstruction of total lower lip lesions, especially in male patients. It is in the same field, the defect can be covered in the same operation, spread of disease is detected more easily, it can camouflage the scar and does not require two team management.
منابع مشابه
new application for the bitemporal (visor) flap in reconstruction of advanced lower lip carcinoma
background: lip carcinoma is a common cancer with a good prognosis and when patients refer early in the course of disease the results of treatment are acceptable. surgical procedures for reconstruction of lip defects are the use of remaining lip tissue, tissue from the opposite lip, adjacent cheek tissue, distant flaps and microvascular free flaps. the bitemporal (visor) flap is a regional flap...
متن کاملVisor flap for total upper and lower lip reconstruction: a case report
INTRODUCTION Noma, aptly named the 'face of poverty', is a scourge with a mortality rate of up to 90% that affects some 140,000 people each year, predominantly children in the sub-Saharan 'noma belt'. Survivors of the acute attack suffer severe facial disfigurement from loss of facial tissue and scarring. Surgical reconstruction of noma defects is a major challenge, especially in Africa, where ...
متن کاملLower Lip Reconstruction: Karapandzic Flap
DESCRIPTION The patient is a 61 year old man with a shave biopsy proven squamous cell carcinoma (SCC) of the lower lip. Seven years ago, the patient underwent Moh's surgery for the same diagnosis on the lower lip. Patient reports that over the past 6 years the lesion has increased in size, has bled at intervals, and was not healing.
متن کاملThe split orbicularis myomucosal flap for lower lip reconstruction.
OBJECTIVES To describe the split orbicularis myomucosal flap and to review our center's experience with this technique for large defects of the lower lip. METHODS All patients presenting to the senior author (Y.D.) for lower lip reconstruction using this flap were reviewed in a retrospective fashion. RESULTS A total of 14 patients with a minimum follow-up of 6 months (mean, 3.4 years; range...
متن کاملThe Camille Bernard Flap for Lower Lip Reconstruction
Figure 1. Preoperative aspect and the excisional pattern.
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ذخیره در منابع من قبلا به منابع من ذحیره شده{@ msg_add @}
عنوان ژورنال
دوره 19 شماره 4
صفحات 297- 302
تاریخ انتشار 2006-02
با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023