scholarly journals Modification of the position of the angulus oris with a rotation flap and a YV flap in lip reconstruction

2020 ◽  
Vol 47 (3) ◽  
pp. 277-280
Author(s):  
Tomoki Kiuchi ◽  
Masaki Yazawa ◽  
Takafumi Ohshiro ◽  
Kazuo Kishi
Keyword(s):  
Skin Defect ◽  
Dog Bite ◽  
Upper Lip ◽  
Initial Operation ◽  
Lip Reconstruction ◽  
The Face ◽  
Orbicularis Oris Muscle ◽  
Food And Drink ◽  
The Right ◽  
Lip Defect

Functionally, the lip serves to prevent food and drink from spilling out of the beginning of the gastrointestinal tract, and it is also used for vocalization. In addition, the lip has cosmetic importance as part of the face involved in making expressions, and in many cultures, it is considered to be sexually appealing. The results of lip reconstruction procedures must therefore be both functionally and cosmetically satisfactory. When the orbicularis oris muscle and oral mucosa are excised, functional reconstruction is prioritized. In contrast, if there are no functional problems, cosmetic reconstruction is the main focus. This case involved the reconstruction of a right upper lip defect caused by a dog bite. When the skin defect was covered with a local flap, the right angulus oris shifted medially, so we incorporated a YV flap at the right angulus oris to modify its position and allow for a cosmetically satisfactory result. We believe that this method can be used not only for cases in which asymmetry of the angulus oris is expected to occur at the time of lip reconstruction, but also for cases in which it has already occurred in the initial operation.

EMG Feedback and Recovery of Facial and Speech Gestures Following Neural Anastomosis

1978 ◽  
Vol 43 (1) ◽  
pp. 9-20 ◽  
Author(s):  
Billie Daniel ◽  
Barry Guitar
Keyword(s):  
Muscle Activity ◽  
Action Potentials ◽  
Substantial Improvement ◽  
Upper Lip ◽  
Lower Lip ◽  
Feedback Training ◽  
The Face ◽  
The Subject ◽  
The Right ◽  
Lifting Task

A case report is presented of an attempt to increase muscle activity during non-speech and speech activities through surface electromyographic feedback. The subject, a 25-year-old male, had a surgical anastomosis of the seventh cranial to the twelfth cranial nerve five years prior to the initiation of this therapy. The right side of the face was immobile. Frequency analogs of muscle action potentials from the right lower lip during pressing, retraction, eversion, and speech were presented to the subject. His task was to increase the frequency of the tone thereby increasing muscle activity. The subject made substantial improvement in the gestures listed above. Electrodes also were placed in various infraorbital positions for an upper lip lifting task. This gesture was unimproved. Pre- and posttherapy independence of facial gestures from conscious tongue contraction was found. Possible explanations were proposed for (1) increases of muscle activity in the lower lip, (2) lack of change of MAPs in the upper lip, (3) independence of the facial muscle activity from conscious tongue contraction, and (4) effectiveness of this feedback training.

scholarly journals Upper lip reconstruction after a dog bite

2019 ◽  
Vol 25 (1) ◽  
pp. 3
Author(s):  
Maxime Guillemin ◽  
Guillaume Giran
Keyword(s):  
Surgical Procedure ◽  
Functional Results ◽  
Dog Bite ◽  
Upper Lip ◽  
Lip Reconstruction ◽  
Aesthetic Result ◽  
Upper Lip Reconstruction

Observation: In traumatology, wounds of the lips are frequent and their care is often summarized in a suture in one or more planes. Defects at this level are rather rare. When they occur, it is important to study their areas and their size in order to offer the best reconstruction. When Abbes' flap is appropriate, surgical procedure is always achieved remotely from the trauma. Comments: This technique allows rebuilding one-third of the upper lip and gives good functional results and a satisfactory aesthetic result. A weaning of the flap at three weeks, regular follow-up, and prospective surgical revisions will be necessary.

scholarly journals Versatility of the estlander flap: upper lip, lower lip and comissure reconstruction due to a dog bite

2019 ◽  
Vol 7 (6) ◽  
pp. 2428
Author(s):  
Natalia Haro Alvarez ◽  
Jose de Jesus Orozco Grados ◽  
Enrique Chavez Serna ◽  
Alejandro Lopez Garibay ◽  
David Navarro Barquin ◽  
...  
Keyword(s):  
Medical Community ◽  
Dog Bite ◽  
Upper Lip ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Affected Area ◽  
Dog Bites ◽  
The World ◽  
Efficient Alternative ◽  
Recovery Assessment

Background: Dog bites continue to be a frequent cause for plastic and reconstructive services in the world. The grand majority of these cases affect the head and neck area; and more often than not they involve the commissure and the lips. The latter leading to an increased level of difficulty and a substantial decrease on the posibilities for a successful reconstruction. This case report focuses on the exploration of the Abbe-Estlander flap as an efficient alternative in most of these cases.Methods: We present two clinical cases involving dog bites where the affected area of both patients was estimated to be one third of the total volume of the lip. Both patients required emergency reconstructive surgery. An Estlander flap was successfully performed in both instances. The purpose of the article is to share the results and motivate the medical community to continue to use this method as a strong avenue for an effective recovery.Results: After two months of the surgery, the team followed up with both patients and they were satisfied with the results. Patient A presented adequate healing of the wound; a lack of alignment of the mucocutaneous rim and rounding of the commissure was observed. Phonation, oral continence without any leakage and complete closure of the lip were also part of the recovery assessment. Patient B presented adequate healing of the wound, phonation and medium oral continence with occasional leakage of liquids and incomplete closure.Conclusions: The Abbe-Estlander flap is still an excellent reconstructive alternative for upper and lower lip reconstruction where the affected area is up to one third of the total volume. As long as the commissure involvement represents minimum difficulty, both aesthetic and functional objectives can be successfully attained using this flap.

scholarly journals Reconstruction of an upper lip and intraoral defect following resection of an upper lip melanoma using a lower lip musculomucosal flap combined with a tongue flap

2020 ◽  
Vol 2020 (4) ◽  
Author(s):  
Yukio Yoshioka ◽  
Yasutaka Hayashido ◽  
Yoku Ito ◽  
Shigeaki Toratani ◽  
Tetsuji Okamoto
Keyword(s):  
Alveolar Bone ◽  
Tumor Resection ◽  
Upper Lip ◽  
Canine Tooth ◽  
Incisor Tooth ◽  
Lower Lip ◽  
Tongue Flap ◽  
Functional Aspects ◽  
Orbicularis Oris Muscle ◽  
The Right

Abstract Restoring the cosmetic and functional aspects of the lip after tumor resection is challenging. We report a case of reconstruction for a defect due to resection of a melanoma using a lower lip musculomucosal flap combined with a tongue flap. A 20-year-old man was referred to our hospital and diagnosed with malignant melanoma with metastatic right submaxillary lymph nodes. We excised the tumor with neck dissection. We excised not only the right upper lip mucosa but also the gum, including some orbicularis oris muscle and alveolar bone from the right canine tooth to the left central incisor tooth. The defect was simultaneously reconstructed using both, a lower lip musculomucosal flap and a tongue flap. Revisional operation to remove contraction of a postoperative scar and the right vermillion border collection was performed at 3 months after the initial operation. There had been no functional and cosmetic trouble of the upper lip.

scholarly journals Reconstruction of the Upper Lip Defect due to Dog Bite Avulsion by the Abbe-Estlander Method

1975 ◽  
Vol 42 (2) ◽  
pp. 202-206
Author(s):  
Kouichi Asada ◽  
Katsunori Ishibashi ◽  
Masatsugu Shimizu ◽  
Tadashi Ueno ◽  
Masanao Iwata ◽  
...  
Keyword(s):  
Dog Bite ◽  
Upper Lip ◽  
Lip Defect

scholarly journals Upper Lip Reconstruction after Lip Cancer Wide Excision

2021 ◽  
Vol 55 (2) ◽  
pp. 147
Author(s):  
Boedy Setya Santoso ◽  
Citra Dwi Novastuti
Keyword(s):  
Cell Carcinoma ◽  
Wide Excision ◽  
Head And Neck Reconstruction ◽  
Upper Lip ◽  
Lip Reconstruction ◽  
Main Complaint ◽  
Upper Lip Reconstruction ◽  
Poorly Differentiated ◽  
One Year ◽  
The Right

Head and neck reconstruction serves two purposes, namely to restore function and aesthetics. The priority goals for lip reconstruction should be determined before surgery. In cases of large lip defects, maintaining the goal makes lip reconstruction difficult. This is a case report of a 66 year old man who came to ORL-HNS OPD, Dr. Soetomo Hospital, Surabaya with the main complaint of ulcers on the upper lip since one year ago accompanied by pain. A mass biopsy result on the right vestibule in Malang on October 11, 2016 showed adenosquamous cell carcinoma. The patient planned to have a wide excision and reconstruction of the lip defect. Wide excision and lip reconstruction was performed on 15 September 2016. Total resection of the upper lip was performed up to the vestibule of the nose. The results showed that squamous cell carcinoma was poorly differentiated. The evaluation after myocutaneous flap surgery was well combined, there were no signs of inflammation or infection. Patients can open their mouths, eat, drink and speak without complaint. The patient then received regular chemoradiotherapy two weeks after surgery.

Adenoid cystic carcinoma of the labium oris with rare metastasis to the pleural cavity

2021 ◽  
Vol 14 (1) ◽  
pp. e237622
Author(s):  
Osama Mosalem ◽  
Anas Alsara ◽  
Fawzi Abu Rous ◽  
Borys Hrinczenko
Keyword(s):  
Side Effects ◽  
Adenoid Cystic Carcinoma ◽  
Pleural Cavity ◽  
Epigastric Pain ◽  
Asian Woman ◽  
Upper Lip ◽  
Adenoid Cystic ◽  
History Of ◽  
The Right

A 57-year-old Southeast Asian woman with a remote history of adenoid cystic carcinoma (ACC) of the right labium superius oris (upper lip) presented to the hospital with vague epigastric pain. On workup, she was found to have multiple pleural nodules. Histopathology confirmed the diagnosis of metastatic ACC. After 8 months of active surveillance, evidence of disease progression was found and the patient was started on pembrolizumab. Follow-up after starting pembrolizumab showed stable disease with no significant side effects.

scholarly journals Total Reconstruction of the Upper Lip Using Bilateral Nasolabial Flaps, Submental Flap, and Mucosa Graft following Complete Resection for Squamous Cell Carcinoma

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
O. G. Oseni ◽  
A. E. Fadare ◽  
M. O. Majaro ◽  
P. B. Olaitan
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Complete Resection ◽  
Upper Lip ◽  
Total Resection ◽  
Lip Reconstruction ◽  
Buccal Mucosal Graft ◽  
Submental Flap ◽  
Upper Lip Reconstruction ◽  
Total Reconstruction

Lip reconstruction following resection for tumour or following extensive trauma may pose a challenge. This is more so when the resection is total and a complete lip has to be constructed. We present a case of lip reconstruction following a total resection of the upper lip. The procedure used in this case was a combination of bilateral nasolabial flaps with a submental flap and buccal mucosal graft lining. We believe that this provides an alternative method of total upper lip reconstruction with minimal disruption of the facial aesthesis.

Mandatory desexing of dogs: one step in the right direction to reduce the risk of dog bite? A systematic review

2017 ◽  
Vol 23 (3) ◽  
pp. 212-218 ◽  
Author(s):  
Katina D'Onise ◽  
Susan Hazel ◽  
Charles Caraguel
Keyword(s):  
Systematic Review ◽  
Dog Bite ◽  
One Step ◽  
The Right

Combined Cutaneous Rotation Flap and Myomucosal Tongue Flap for Reconstruction of an Upper Lip Defect

2014 ◽  
Vol 105 (9) ◽  
pp. 869-871
Author(s):  
A.F. Massa ◽  
M. Otero-Rivas ◽  
B. González-Sixto ◽  
M.Á. Rodríguez-Prieto
Keyword(s):  
Upper Lip ◽  
Rotation Flap ◽  
Tongue Flap ◽  
Lip Defect
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