SS  Vol.9 No.3 , March 2018
Four Patients Undergoing Labioplasty and Lip Reconstruction for Lip Deformity
ABSTRACT
We managed four patients who had neoplastic, posttraumatic, atrophic and postoperative lip deformity, respectively. Case 1: The patient had a hemangioma (17 × 14 mm) confined to the vermilion part of the lower lip. We performed the wedge excision of the tumor and labioplasty. The postoperative appearance and function of the lip were satisfactory. Case 2: The patient had posttraumatic deformity of the upper lip. We performed correction by Cronin’s triangular flap method. The postoperative appearance of the lip was satisfactory. Case 3: The patient had severe atrophy of the upper lip and difficulty closing mouth due to progressive hemifacial atrophy. We performed reconstruction of the upper lip on the atrophic side with a cross-lip vermilion flap from the non-atrophic lower lip. The postoperative appearance and function of the lip were satisfactory. Case 4: The patient had postoperative lower lip deformity and difficulty closing mouth after tumor resection and reconstruction with a myocutaneous pectoralis major flap. We performed debulking of the bulky flap and covered the raw surface with a local rotation flap. The postoperative lip closure was satisfactory. In patients with lip deformity, it is important to perform appropriate correction or reconstruction according to each patient’s clinical features in order to achieve satisfactory cosmetic and functional outcomes.
Cite this paper
Matsunaga, K. , Enomoto, A. , Shimoide, T. , Iwasaki, S. , Mukai, T. , Isogai, N. and Hamada, S. (2018) Four Patients Undergoing Labioplasty and Lip Reconstruction for Lip Deformity. Surgical Science, 9, 97-108. doi: 10.4236/ss.2018.93010.
References
[1]   Markus, A.F. and Delaire, J. (1993) Functional Primary Closure of Cleft Lip. The British Journal of Oral and Maxillofacial Surgery, 31, 281-291.
https://doi.org/10.1016/0266-4356(93)90061-Z

[2]   Jin, X., Teng, L., Lu, J., Xu, J., Zhang, C., Xu, M. and Zhao, J. (2013) Upper-Lip Vermilion Reconstruction with a Modified Cross-Lip Vermilion Flap in Hemifacial Atrophy. Journal of Plastic, Reconstructive and Aesthetic Surgery, 66, e101-e106.

[3]   Teresa Min-Jung, O., Scheuermann-Pole, C., Tan, M. and Waner, M. (2013) Distribution, Clinical Characteristics, and Surgical Treatment of Lip Infantile Hemangiomas. JAMA Facial Plastic Surgery, 15, 292-304.
https://doi.org/10.1001/jamafacial.2013.883

[4]   Chang, C.S., Wong, A., Rohde, C.H., Ascherman, J.A., Wu, J.K. (2012) Management of Lip Hemangiamas: Minimizing Peri-Oral Scars. Journal of Plastic, Reconstructive and Aesthetic Surgery, 65, 163-168.
https://doi.org/10.1016/j.bjps.2011.08.033

[5]   Nakamura, N., Kawano, S., Nakao, Y., Tateishi, K. and Ohishi, M. (2005) An Alternative Method for Vermilion Reconstruction after Resection of Hemangiomas of Lip. Journal of Oral and Maxillofacial Surgery, 63, 1239-1243.
https://doi.org/10.1016/j.joms.2005.04.017

[6]   De Castro, D.K., Ng, Z.Y., Holzer, P.W., Waner, M., Cetrulo, C.L. and Fay, A. (2017) One-Stage Supramaximal Full-Thickness Wedge Resection of Vascular Lip Anomalies. Journal of Oral and Maxillofacial Surgery, 75, 2449-2455.
https://doi.org/10.1016/j.joms.2017.03.020

[7]   Ali, M., Mohammad, A.M., Maryam, M., Hamed, B. and Mahnaz, A. (2012) Repair of Large Lip Vermilion Defects with Mutual Cross Lip Musculomucosal Flap. World Journal of Plastic Surgery, 1, 3-10.

[8]   Ueda, K., Oba, S., Ohtani, K., Amano, Y. and Fumiyama, Y. (2006) Functional Lower Lip Reconstruction with a Forearm Flap Combined with a Free Gracilis Muscle Transfer. Journal of Plastic, Reconstructive and Aesthetic Surgery, 59, 867-870.
https://doi.org/10.1016/j.bjps.2005.10.014

[9]   Kummoona, R. (2008) Posttraumatic Missile Injuries of Orofacial Region. The Journal of Craniofacial Surgery, 19, 300-305.
https://doi.org/10.1097/SCS.0b013e3181577b97

[10]   Stelnicki, E.J. and Zide, B. (1999) Reconstruction of the Posttraumatic Short Upper Lip. Annals of Plastic Surgery, 43, 592-597.
https://doi.org/10.1097/00000637-199912000-00003

[11]   Fujiwara, T., Chen, C.C., Shih, H.S., Nebres, R.P., Jeng, S.F. and Kuo, Y.R. (2010) Stair-Step Flap for Secondary Lower Lip Revision after Lip and Cheek Composite Defects Reconstruction. Head & Neck, 33, 1322-1327.
https://doi.org/10.1002/hed.21603

[12]   Cronin, T.D. (1966) A Modification of Tennsion Type Lip Repairs. The Cleft Palate-Craniofacial Journal, 3, 376-382.

[13]   Brauer, R.O. and Cronin, T.D. (1983) The Tennison Lip Repair Revisited. Plastic and Reconstructive Surgery, 71, 633-640.
https://doi.org/10.1097/00006534-198305000-00009

[14]   Matsunaga, K., Sasaguri, M., Mitsuyasu, T., Ohishi, M. and Nakamura, N. (2016) Upward Advancement of the Nasolabial Components at Unilateral Cleft Lip Repair Prevents Postoperative Long Lip. The Cleft Palate-Craniofacial Journal, 53, e71-e80.
https://doi.org/10.1597/14-272

[15]   Henry, K. and Kawamoto, Jr. (1979) Correction of Major Defects of the Vermilion with a Cross-Lip. Plastic and Reconstructive Surgery, 29, 5-13.

[16]   Crikelair, G.F., Moss, M.L. and Khuri, A. (1962) Facail Hemiatrophy. Plastic and Reconstructive Surgery, 29, 5-13.
https://doi.org/10.1097/00006534-196201000-00002

[17]   Colille, R.J. and Patel, R. (2011) The Mental Rotation Flap. Journal of Plastic, Reconstructive and Aesthetic Surgery, 64, e76-e77.

[18]   Ransom, E.R. and Jancro, A.A. (2012) Double-Opposing Rotation-Advancement Flaps for Closure of Forehead Defects. Archives of Facial Plastic Surgery, 14, 342-345.
https://doi.org/10.1001/archfacial.2012.7

 
 
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