5,329 results match your criteria Lip Reconstruction

Upper Lip Anatomy, Mechanics of Local Flaps, and Considerations for Reconstruction.

Cutis 2021 Mar;107(3):144-148

Drs. Boson, Cole, and Wagner are from The University of Texas Medical Branch, Galveston. Drs. Boson and Cole are from the Division of Plastic Surgery, Department of Surgery, and Dr. Wagner is from the Department of Dermatology. Dr. Boukovalas is from the Division of Plastic and Reconstructive Surgery, Department of Surgery, The University of Tennessee Graduate School of Medicine, Knoxville. Dr. Hays is from the Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas. Dr. Hammel is from Dermatology Specialists, Atlanta, Georgia.

Reconstruction of defects involving the upper lip can be challenging. The purpose of this review was to analyze the anatomy and function of the upper lip and provide an approach for reconstruction of upper lip defects. The primary role of the upper lip is coverage of dentition and animation, whereas the lower lip is critical for oral competence, speech, and eating. Read More

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Postoperative Outcomes of Local Skin Flaps Used in Oncologic Reconstructive Surgery of the Upper Cutaneous Lip: A Systematic Review.

Dermatol Surg 2021 Apr 27. Epub 2021 Apr 27.

Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, Ontario, Canada; Faculty of Medicine, Medical Sciences Building, University of Toronto, Toronto, Ontario, Canada; Gerstein Science Information Centre, University of Toronto, Toronto, Ontario, Canada; and Department of Dermatology, University of California Davis, Sacramento, California.

Background: Despite many options for upper lip reconstruction, each method's advantages and disadvantages are unclear.

Objective: To summarize complications and functional and aesthetic outcomes of localized skin flaps for oncological reconstruction of the upper cutaneous lip (PROSPERO CRD42020157244).

Methods: The search was conducted in Ovid MEDLINE, Ovid EMBASE, and CENTRAL on December 14, 2019. Read More

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A modified method for upper eyelid reconstruction with innervated orbicularis oculi myocutaneous flaps and lower lip mucosal grafts.

JPRAS Open 2021 Jun 24;28:131-139. Epub 2021 Mar 24.

Department of Plastic Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.

Background: Numerous reports have described methods for repairing full-thickness upper eyelid defects using lower eyelid tissue. To avoid sacrificing the lower eyelid and thereby prevent lower eyelid sagging or dysfunction, we used innervated orbicularis oculi myocutaneous flaps harvested from the upper eyelid for upper eyelid reconstruction.

Methods: We modified a method reported by Moschella and Cordova for repairing full-thickness upper eyelid defects using innervated bipedicled orbicularis oculi myocutaneous flaps mobilized from the upper eyelid and labial mucosal grafts. Read More

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The Performance of Secondary Nasal Alar Base Revision for Unilateral Cleft Lip by Single YV-Plasty (the Importance of Overcorrection During Surgery).

Cleft Palate Craniofac J 2021 Apr 23:10556656211010609. Epub 2021 Apr 23.

Department of Plastic and Reconstructive Surgery, Soseikai General Hospital, Kyoto, Japan.

Although primary surgery for cleft lip has improved over time, the degree of secondary cleft or nasal deformity reportedly varies from a minimum degree to a remarkable degree. Patients with cleft often worry about residual nose deformity, such as a displaced columella, a broad nasal floor, and a deviation of the alar base on the cleft side. Some of the factors that occur in association with secondary cleft or nasal deformity include a deviation of the anterior nasal spine, a deflected septum, a deficiency of the orbicularis muscle, and a lack of bone underlying the nose. Read More

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A Strategy for Integrative Reconstruction of Midface Defects Using an Extended Forehead Flap.

Facial Plast Surg Aesthet Med 2021 Apr 20. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.

Midface reconstruction is challenging because the structures and deformities involved are complicated. In this study, we present a strategy for integrally reconstructing nasal and midface defects, including hair-bearing defects, using extended forehead-expanded flaps. From 2015 to 2018, a total of 22 patients with midface defects underwent reconstruction with extended forehead-expanded flaps. Read More

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Level of Evidence on Platelet-rich Plasma in Plastic Surgery.

Plast Reconstr Surg Glob Open 2021 Apr 15;9(4):e3379. Epub 2021 Apr 15.

Department of Plastic Surgery, Baylor College of Medicine, Houston, Tex.

Background: Despite the increased popularity of platelet-rich plasma (PRP) in plastic surgery, there is no detailed analysis on the level of evidence on PRP use in plastic surgery. As the number of applications of PRP in plastic surgery increases, it is important for plastic surgeons to understand the scientific and validated evidence behind its use. Therefore, we performed a literature review to identify current level of evidence on platelet-rich plasma in plastic surgery. Read More

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Orthodontic Pre Grafting Closure of Large Alveolar Bony and Soft Tissue Gaps: A Novel Nonsurgical Protraction of the Lesser Segments in Growing Patients With Cleft Lip and Palate.

Cleft Palate Craniofac J 2021 Apr 13:10556656211007697. Epub 2021 Apr 13.

Department of Maxillo Facial Surgery, Santi Paolo and Carlo Hospital, Milan, Italy.

Background: Closure of wide alveolar clefts with large soft tissue gaps and reconstruction of the dentoalveolar defect are challenging for the surgeon. Some authors successfully used interdental segmental distraction, which requires an additional surgical procedure.

Objective: This study evaluates the effectiveness of tooth borne devices utilized to orthopedically advance the lesser segments, with a complete approximation of the soft tissue of the alveolar stumps, allowing traditional simultaneous soft tissue closure and bone grafting, and avoiding the need for supplementary surgery. Read More

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Three-Dimensional Computed Tomography Reconstruction and Measurement of Nasal End Deformity in Complete Unilateral Cleft Lip and Palate.

Ann Plast Surg 2021 Apr 5. Epub 2021 Apr 5.

From the Center for Cleft Lip and Palate Treatment, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing China.

Background: The repair of nasal deformities secondary to cleft lip and palate is complex and requires reliable preoperative nasal 3-dimensional assessment. This study explored nasal end (defined as the lower third of the external nasal and vestibular parts of the nasal cavity) deformities secondary to unilateral complete cleft lip and palate.

Methods: Three-dimensional nasal end morphometric measurements were obtained from 48 patients who had undergone Millard cleft lip repair and reached skeletal maturity (cleft group) and from 36 age- and ethnicity-matched normal subjects (control group). Read More

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Tracheostomy in free-flap reconstruction of the oral cavity: can it be avoided? A cohort study of 187 patients.

ANZ J Surg 2021 Apr 6. Epub 2021 Apr 6.

Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, New South Wales, Australia.

Background: Head and neck surgeons are moving away from routine tracheostomy in free-flap reconstruction. We reviewed prophylactic tracheostomy use in patients undergoing oral cavity or oropharynx free-flap reconstruction to identify patient groups who avoided tracheostomy. Secondary aims were to describe complications associated with and without tracheostomy. Read More

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Lip Augmentation.

Oral Maxillofac Surg Clin North Am 2021 May 6;33(2):185-195. Epub 2021 Mar 6.

Texas A&M Oral and Maxillofacial Surgery, 3000 Gaston Avenue Dallas, TX 75226 USA.

A heightened cultural emphasis on youth and beauty has resulted in an increase in cosmetic surgery in the Western world. Lip augmentation is one of the most popular cosmetic procedures done because full lips are considered youthful and voluptuous. With reliable and improved techniques, it is possible to change the appearance of the lips utilizing injectable materials and surgical techniques. Read More

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Reconstruction of whistling deformity using V-Y advancement flap after primary cleft lip repair.

J Surg Case Rep 2021 Mar 8;2021(3):rjab026. Epub 2021 Mar 8.

Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan.

Whistling deformity often occurs after cleft lip primary repair, marked by deficiency of vermilion tubercle. The purpose of the surgery includes improving the appearance and function of the lip. Adequate amount of vermillion tubercle is necessary to fully cover the front teeth, produce lip seal while speaking consonant sound and balance the projection of face. Read More

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Reconstruction of a Large Upper Cutaneous Lip Defect and Ipsilateral Alar Base.

Dermatol Surg 2021 Mar 9. Epub 2021 Mar 9.

Private Practice Coeur d'Alene, Idaho; US Navy, CNSS 14, Jacksonville, Florida; Department of Dermatology, Baylor College of Medicine, Houston Texas.

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Alloplastic Facial Implants.

Facial Plast Surg 2021 Mar 16. Epub 2021 Mar 16.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota.

As the face ages, there is thinning of the epidermis, volume loss and rearrangement of the soft tissues, and malabsorption of the skeletal framework. It is essential to have a thorough understanding of the aging process for successful facial augmentation and rejuvenation. Alloplastic implants can be used to provide a long-lasting solution for augmentation of skeletal deficiencies, restoration of facial irregularities, and rejuvenation of the face. Read More

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Day Care Surgery for Unilateral Alveolar Bone Grafting of Residual Clefts With Mandibular Symphyseal Bone-A Prospective Questionnaire Study.

Cleft Palate Craniofac J 2021 Mar 15:1055665621999489. Epub 2021 Mar 15.

Section for Oral Surgery and Oral Pathology, Department of Dentistry and Oral Health, Health, Aarhus University, Denmark.

Objective: To evaluate patients' experiences of shortened hospitalization in relation to bone grafting of unilateral alveolar clefts with mandibular symphyseal bone grafts.

Design: Prospective cohort questionnaire study.

Setting: Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Denmark. Read More

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Opioid Prescribing Practices in Cleft Lip and Cleft Palate Reconstruction.

Cleft Palate Craniofac J 2021 Mar 10:1055665621990163. Epub 2021 Mar 10.

Division of Plastic & Reconstructive Surgery, 565745Baylor Scott & White Medical Center, TX, USA.

Introduction: Currently, there is no consensus regarding the role of opioids in the management of perioperative pain in children undergoing cleft lip/palate repair.

Method: The present study evaluated opioid prescribing patterns of surgeon members within the American Cleft Palate-Craniofacial Association surgeons utilizing an anonymous survey.

Results: Respondents performing cleft lip repair typically operate on patients 3 to 6 months of age (86%), admit patients postoperatively (82%), and discharge them on the first postoperative day (72%). Read More

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Upper Lip Reconstruction Utilizing a Two-Stage Approach with Nanofat Grafting After Hemangioma Treatment.

Facial Plast Surg Aesthet Med 2021 Mar 11. Epub 2021 Mar 11.

Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Beijing, China.

Lip deformities that occur after treatment of vascular anomalies treatment are often followed by serious local cicatricial adhesion and mucosa atrophy that can complicate reconstruction methods involving simple fat grafting or local flap transfer. To develop a novel technique that combines flap transfer with nanofat grafting that can be used to reconstruct the upper lip after treatment of vascular anomalies. A retrospective study of a consecutive series of 24 patients with upper lip deformities (13 female and 11 male) aged between 7 and 24 years old was conducted. Read More

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Lower Lip Cancer Managed by Reconstruction with a Double Abbe Flap - A Case Report.

Ann Maxillofac Surg 2020 Jul-Dec;10(2):475-478. Epub 2020 Dec 23.

Department of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.

Although the incidence of lower lip cancer is not high in Japan, its treatment requires an approach that considers both esthetics and function. When surgical resection is required, the method used for reconstruction varies depending on the affected part. Despite various studies proposing different types of algorithms, no single method is considered the best. Read More

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December 2020

The Harvest of a Lateral Segment of Costal Cartilage for Treating Nasal Deformities.

J Craniofac Surg 2021 Mar-Apr 01;32(2):744-748

Department of Oral and Maxillofacial Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

Background: Although costal cartilage has many uses and is a reliable source of cartilage for rhinoplasty procedures, donor-site complications may arise with conventional harvesting techniques. The present report reports a novel technique of harvesting costal cartilage using a specially designed scalpel and studies the use of the harvested cartilage in the reconstruction of secondary nasal deformities in patients with cleft lips.

Methods: Ten patients (7 females and 3 males) with nasal deformities secondary to cleft lip underwent rhinoplasty using this new technique at the Department of Oral and Maxillofacial Surgery, Second Hospital of Hebei Medical University, China, between May 2011 and December 2013. Read More

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Secondary Treatment of Cleft Lip Correction Sequelae With Percutaneous Needleotomy, Autologous Fat Grafting, and Local Flaps: An Integrated Approach.

J Craniofac Surg 2021 Mar-Apr 01;32(2):642-646

Plastic Surgery Unit, Department of Medical Biotechnology and Translational Medicine BIOMETRA, Humanitas Clinical and Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Via Manzoni 56, Rozzano.

Introduction: Cleft lip and/or palate (CL/P) is the most common congenital craniofacial malformation. The severity of the anatomic deformity is highly variable and different techniques can be employed depending on whether the defect is unilateral or bilateral, complete or incomplete. Patients usually undergo multiple steps of reconstruction throughout childhood and adolescence and, for this reason, secondary deformities of the nasolabial region of the midface may ensue. Read More

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Surgical Planning for Cleft Lip and/or Palate-Induced Moderate-to-Severe Midfacial Hypoplasia.

J Craniofac Surg 2021 Mar-Apr 01;32(2):492-495

Cleft Lip and Palate Department.

Background: Distraction osteogenesis and conventional bimaxillary orthognathic surgery have been performed for the treatment of midfacial hypoplasia for a long time. However, the effect of these 2 techniques on the maxilla, mandible, and whole-facial profile is significantly different. In this study, we aimed to measure the pre- to post-treatment changes in maxillary prominence, mandible size, and facial length and compare them between these 2 techniques to inform selection of the best technique. Read More

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Reconstruction of Anterior Mandibular Defect Using Submental Island Flap Pedicled With Mental Artery.

Ear Nose Throat J 2021 Mar 8:145561320987039. Epub 2021 Mar 8.

School and Hospital of Stomatology, Jilin University, Changchun, China.

Gingival carcinoma is a common malignant tumor occurring in the anterior area of the mandible, which can be derived from the epithelium of gingival mucosa. Surgical extended resection is the main treatment of gingival cancer, which can lead to anterior mandibular defect including mouth floor and mandible and mucosa of lower lip. According to the size of the defect, the common repair method is free musculocutaneous flap with vascular pedicle or pedicle flap. Read More

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Advancement flap to cover a defect between the junction of the alar base and the upper lip.

JPRAS Open 2021 Jun 26;28:33-36. Epub 2021 Jan 26.

Plastic and Reconstructive Surgery Department, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK.

Reconstruction following excision of skin lesions at the cosmetically sensitive junction between the alar base and upper lip continues to be challenging for surgeons. We describe an advancement flap from the nasolabial fold area to reconstruct such defects. Our case demonstrates a gentleman with a clinically diagnosed BCC between the alar base and upper lip. Read More

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Dual-Vector Gracilis Muscle Transfer for Smile Reanimation with Lower Lip Depression.

Laryngoscope 2021 Mar 4. Epub 2021 Mar 4.

Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, and Harvard Medical School, Boston, Massachusetts, U.S.A.

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Supraclavicular Flap for Severe Post-burn Neck Contracture in Children.

Cureus 2021 Jan 25;13(1):e12910. Epub 2021 Jan 25.

Trauma, Olympia Hospital & Research Centre, Trichy, IND.

The neck is essential and vital for all head movements and performing daily functional activities. The second-degree deep dermal and full-thickness burns causing anterior neck contracture restricts movement and if untreated develop deformities, in the oral cavity, eyes, posture, and chin growth and development, especially in children. Neck contracture results in kyphoscoliosis, lower lip seal resulting in impaired vision, balance, swallowing, feeding, and speech as well as social stigma, depression, and embarrassment. Read More

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January 2021

Three-Dimensional Computed Tomography Scan Analysis of Secondary Labial Deformities in Patients With Unilateral Cleft Lip/Cleft Palate After Revisional Surgery.

Ann Plast Surg 2021 03;86(3S Suppl 2):S273-S281

From the Department of Plastic and Reconstructive Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.

Background: Surgical reconstruction of secondary labial deformities associated with isolated unilateral cleft lip (UCL) and/or UCL and palate (UCLP) is challenging. There have been few studies in the literature looking at labial soft tissues quantitatively to assess surgical results.

Objective: To apply a novel computer-aided, 3-dimensional reconstruction technique based on CT scan images to conduct quantitative preoperative and postoperative assessments in patients with UCL/UCLP undergoing surgical revision of secondary labial deformities. Read More

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Modified Stair-Step Flap With Turnover Flap for Drooling Correction After Lower Lip Composite Defect Reconstruction.

Ann Plast Surg 2021 Feb 19. Epub 2021 Feb 19.

From the Department of Colorectal Surgery Nursing Department Department of Plastic and Reconstructive Surgery, Changhua Christian Hospital, Changhua, Taiwan.

Background: Oral commissure and buccal complex defects are commonly seen after cancer ablation. Free flap reconstruction can offer adequate soft tissue volume and outer skin lining. However, oral incompetence often occurs when an oral commissure has defects, particularly when the patient receives postoperative radiotherapy. Read More

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February 2021

Modified Unilateral Incomplete Cleft Lip Repair with Primary Nasal Overcorrection: A Muscle-Driven Technique.

Plast Reconstr Surg 2021 Mar;147(3):700-705

From the Department of Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University.

Summary: Millard's rotation-advancement principle, first-described 60 years ago, continues to guide surgeons in reconstruction of the unilateral cleft lip. Modifications of the rotation-advancement repair are commonly used; however, distinction between the complete and incomplete forms of cleft lip has received less emphasis in surgical procedure descriptions. As a unilateral incomplete cleft lip could present with more tissue overall and a larger lip on the cleft side than a complete form of cleft lip, the authors have adopted a deformity-specific technical approach to treat each particular cleft form. Read More

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Lip and Perioral Trauma: Principles of Aesthetic and Functional Reconstruction.

Facial Plast Surg 2021 Feb 22. Epub 2021 Feb 22.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan.

Successful management of lip and perioral trauma requires a nuanced understanding of anatomy and surgical techniques. Surgical correction is particularly challenging in instances of tissue loss, due to a narrow tolerance for aesthetic deformity and highly specialized functions of the perioral region, including facial expression, communication, and oral competence. Restoring continuity of the orbicularis oris musculature is critical for dynamic sphincter function of the upper and lower lips. Read More

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February 2021

Nasal and Oral Subunits Reconstruction of Localized Scleroderma Deformities.

J Craniofac Surg 2021 Feb 18. Epub 2021 Feb 18.

Department of Plastic and Burn Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Abstract: Localized scleroderma is a rare soft tissue disorder characterized by a thickening of the skin from excessive collagen deposits. For patients with face involved, soft tissue depression and atrophy could cause serious facial contour deformity and adversely affect the patients' quality of social life. However, localized scleroderma cases with delicate facial aesthetic subunits defects were rarely reported to be surgically reconstructed. Read More

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February 2021

A new congenital cleft palate New Zealand rabbit model for surgical research.

Sci Rep 2021 Feb 16;11(1):3865. Epub 2021 Feb 16.

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Maxillofacial Surgery, West China School of Stomatology, Sichuan University, Chengdu, 610041, People's Republic of China.

Cleft palate repair is a challenging procedure for cleft surgeons to teach, and in research, it can be difficult to evaluate different techniques and develop new treatments. In this study, a congenital cleft palate New Zealand rabbit model has been described and could be beneficial in future studies concerning cleft palate repair. Pregnant New Zealand rabbits received 1. Read More

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February 2021