title: Reconstruction of the lower vermilion with a musculomucosal flap from the upper lip in the repair of extensive lower lip and chin defects.
abstract: In the repair of extensive lower lip and chin defects, the reconstruction of vermilion at the same time is a great challenge to plastic surgeons. We describe a novel method for the reconstruction of lower vermilion with musculomucosal flap from the upper lip in the repair of extensive lower lip and chin defects. Two patients underwent extensive lower lip and chin reconstruction together with vermilion reconstruction. This technique used 3 basic components: musculomucosal flap from the upper lip, buccal mucosal advancement flap, and cutaneous rotational flap from the neck. All the flaps survived without significant complications. Labial function in the motions of expression and speaking was maintained. The patients could basically close their mouths completely, and there were no drooping or small-mouth deformities postoperatively. Functional and cosmetically acceptable lower-lip and chin reconstructions in both patients were achieved.
authors: From the Departments of *Plastic and Aesthetic Surgery and †Hematology and Oncology, First Hospital of Jilin University, Jilin, China.
authors: Li
authors: L
authors: Rong
authors: Shi-Jie
authors: SJ
authors: Lan
authors: Duo
authors: D
authors: Zhang
authors: Wang-Shu
authors: WS
authors: Wang
authors: Chao
authors: C
authors: Liu
authors: Wei-Hai
authors: WH
authors: Peng
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000818:Animals; D001733:Bites and Stings / Q000601:surgery; D002680:Chin / Q000293:injuries* / Q000601:surgery; D004285:Dogs; D004954:Esthetics; D005149:Facial Expression; D005152:Facial Muscles / Q000637:transplantation; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008046:Lip / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016038:Skin Transplantation / Q000379:methods*; D013060:Speech / Q000502:physiology; D013524:Surgical Flaps / Q000637:transplantation*