A Modified Single-Step Method to Repair a Central Defect of the Upper Lip.
BACKGROUND
Defects in the central region of the upper lip are difficult to repair.


CONCLUSIONS
Several techniques have been described, many of them requiring a second surgical procedure to obtain acceptable aesthetic results.


METHODS
A patient with a soft defect in the central region of the upper lip following aggression by human bite is presented. To repair the defect, the principles described by Goldstein for lateral lip defects were used (Goldstein in Plast Reconstr Surg 85(3):446-452, 1990; Robotti et al. in J Plast Reconstr Aesthet Surg 63:431-439, 2010).


CONCLUSIONS
In this particular case, two full-thickness advancing miomucosal flaps from the vermilion of the upper lip were used with predictable aesthetic results.
Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Calle Fernando Sánchez Sampedro, No. 4, P8, 4º B, CP: 06003 Badajoz, Spain ; University of Extremadura (UEx) School of Medicine, Badajoz, Spain.
Carlos
C
Moreno García
Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Calle Fernando Sánchez Sampedro, No. 4, P8, 4º B, CP: 06003 Badajoz, Spain ; University of Extremadura (UEx) School of Medicine, Badajoz, Spain.
Raúl
R
González-García
Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Calle Fernando Sánchez Sampedro, No. 4, P8, 4º B, CP: 06003 Badajoz, Spain ; University of Extremadura (UEx) School of Medicine, Badajoz, Spain.
Manuel
M
Moreno-Sánchez
Department of Neurology, University Hospital Infanta Cristina, Badajoz, Spain ; University of Extremadura (UEx) School of Medicine, Badajoz, Spain.
María Asunción Pons
MA
García
Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Calle Fernando Sánchez Sampedro, No. 4, P8, 4º B, CP: 06003 Badajoz, Spain ; CICOM, Centro de Implantología y Cirugía Oral y Macxilofacial/Centre for Implantology and Oral and Maxillofacial Surgery, Badajoz, Spain ; University of Extremadura (UEx) School of Medicine, Badajoz, Spain.
Florencio
F
Monje
Central defect of upper lip; Human bite; Method to repair