title: V-Y advancement flap for the reconstruction of partial and full thickness defects of the upper lip.
abstract: We analysed the records of 25 patients who had their upper lips reconstructed after resection of a tumour. All the repairs were done with triangular cutaneous and musculocutaneous flaps with a skin island with V-Y advancement, and a subcutaneous or muscular pedicle with or without mucosa. The choice of flap was based on the width of the defect after the tumour had been resected. A subcutaneous pedicled flap was used in 14 patients; a musculocutaneous flap not including the mucosa in 5, and including the mucosa in 6. This flap can be used to repair upper lip defects of any thickness. The procedure is quite safe from a circulatory point of view and the flap has the advantage of requiring only one procedure. It is aesthetically satisfactory in most patients and maintains the good function and sensitivity of the lip.
authors.affiliation: Plastic Surgery Division, Department of Surgery, Federal University of São Paulo-Escola Paulista de Medicina, São Paulo, Brazil.
authors.forename: Lucia M Y
authors.initials: LM
authors.lastname: Carvalho
authors.forename: Roberto R
authors.initials: RR
authors.lastname: Ramos
authors.forename: Ivan D A O
authors.initials: ID
authors.lastname: Santos
authors.forename: Flávia
authors.initials: F
authors.lastname: Brunstein
authors.forename: Alessandra H
authors.initials: AH
authors.lastname: Lima
authors.forename: Lydia M
authors.initials: LM
authors.lastname: Ferreira
mesh_terms: D004954:Esthetics; D005260:Female; D006801:Humans; D008046:Lip / Q000601:surgery*; D008048:Lip Neoplasms / Q000601:surgery; D008297:Male; D009092:Mucous Membrane / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps