title: Upper lip augmentation with double-row subcutaneous pedicled V-Y flaps in Möbius syndrome.
abstract: Treatment of open-mouth deformity and augmentation of the upper lip were performed using a combination of double-row V-Y mucosal advancement flaps and a V-Y skin advancement flap in 2 cases with Möbius syndrome. The mucosal V-Y advancement flaps were consisted for 2 rows of flaps. The first row was placed near the labial sulcus, including 3 V-Y advancement flaps. These flaps equally provided 3 directional augmentation for each segment of the upper lip. Second row V-Y mucosal advancement flap was used for the augmentation of the vermilion tubercle. In our cases, V-Y advancement flaps were used as subcutaneous based flaps unlike other distally based V-Y flap techniques for the upper lip. Postoperative complications such as scar formation, sensation problems, severe pain, and edema were decreased because of subcutaneous pedicled V-Y flaps. In addition, the relationship between mucosa and orbicularis oris muscle, which is responsible for the fine balance of the vermilion, was maintained with subcutaneous-based flaps. The skin V-Y advancement flap was used both to lengthen the upper lip and to create philtral columns on the upper lip.
authors.affiliation: Department of Plastic & Reconstructive Surgery, Dışkapı Training and Research Hospital, Ankara, Türkiye. dresabil@hotmail.com
authors.forename: Esabil
authors.initials: E
authors.lastname: Eker
authors.forename: Ali Teoman
authors.initials: AT
authors.lastname: Tellioğlu
mesh_terms: D006801:Humans; D008046:Lip / Q000002:abnormalities* / Q000601:surgery*; D008297:Male; D020331:Mobius Syndrome / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D055815:Young Adult