title: [EFFECTIVENESS OF CROSS-LIP FLAP WITH SIMUTANEOUS VASCULAR ANASTOMOSIS].
abstract: OBJECTIVE
  To investigate the feasibility and effectiveness of a modified cross-lip flap with lip artery anatomosis so as to shorten inward time.
  
  
  METHODS
  Between August 2010 and January 2014, 11 patients underwent cross-lip flap surgery with lip artery anatomosis to repair upper lip defects. There were 9 males and 2 females with an average age of 62 years (range, 13-70 years). The defects causes were tumors removal in 6 cases, animal bites in 2 cases, and secondary deformity after cleft lip repair surgery in 3 cases . The width and height of defect were 1.5-4.0 cm and 1.8-3.5 cm respectively; the width and height of flap were 1.5-3.2 cm and 1.5-3.0 cm respectively. The donor site was directly sutured.
  
  
  RESULTS
  All flaps survived, and wound healed by first intention. The flap pedicle was cut off at 5 days after operation. No blister, desquamation, or circulatory malfunction was found. Delayed healing of incision occurred in 1 patient with diabetes. Eleven patients were followed up 5-24 months (mean, 11 months). The patients had normal facial expression, food intake, and language function. The function of brush directional stroke test sensation recovered in 7 (77.8%) of 9 followed patients at 12 months after operation.
  
  
  CONCLUSIONS
  The modified cross-lip flap with lip artery anatomosis is feasible and effective in repair of upper lip defects, because it can gain much more blood supply from lip right now in first surgery, shorten inward time, and relief patient's discomfort.
authors.forename: Zhe
authors.initials: Z
authors.lastname: Peng
authors.forename: Lan
authors.initials: L
authors.lastname: Mu
authors.forename: Yan
authors.initials: Y
authors.lastname: Liu
authors.forename: Guangxue
authors.initials: G
authors.lastname: Li
authors.forename: Kai
authors.initials: K
authors.lastname: Yang
mesh_terms: D002971:Cleft Lip; D005260:Female; D006801:Humans; D008046:Lip; D008297:Male; D019651:Plastic Surgery Procedures; D016038:Skin Transplantation; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D014945:Wound Healing