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KMID : 1038220120390030244
Archives of Plastic Surgery
2012 Volume.39 No. 3 p.244 ~ p.248
Combined Rotation and Advancement Flap Reconstruction for a Defect of the Upper Lip: 2 Cases
Lee Jun-Sang

Oh Suk-Joon
Jung Sung-Won
Koh Sung-Hoon
Abstract
Many types of upper lip reconstruction have been introduced to treat defects after a tumor excision or trauma. The authors treated two cases of upper lip defects. A 35-year-old woman presented with a squamous cell carcinoma of the left upper lip that had invaded the corner of the mouth. After resecting the tumor, the defect was 3.7¡¿3.5§¯ in size. A 52-year-old woman presented with a dog bite of the right upper lip. The defect measured 4.0¡¿2.2§¯ in size. The two cases were reconstructed by combined rotation and advancement of a cheek flap. This technique produced a good functional outcome that allowed for oral competence and created an opening of adequate size. A combination of rotation and an advancement flap can be used to treat upper lip defects in a single-stage procedure. This approach produces a good functional and cosmetic outcome.
KEYWORD
Surgical flaps, Carcinoma, Lip
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