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Reconstruction upper lip

Francesca Gazzani, Chiara Pavoni, Paola Cozza, Roberta Lione
BACKGROUND: Maxillary protraction with facemask (FM) is an orthopedic approach for treatment of Class III growing patients. Aim of the present investigation was to analyze tension loads produced by two different facial mask (FM) designs on facial skin of subject with skeletal Class III. METHODS: A three-dimensional (3D) geometry of Delaire and Petit FM models were reconstructed from the original Computer Aided Design (CAD) 3D prototype using software package (ANSYS 5...
February 13, 2019: BMC Oral Health
Yan Wang, Shu Guo, Qiang Sun, Shi-Feng Jin, Xin Zhang, Ming Xiao, Chen-Chao Wang, Xu Sun, Meng-Zhu Lv, Ke-Zhu Li
BACKGROUND: Facial features vary in size and proportions between different races. This study aimed to measure the anthropometric variables of the labial region in Han Chinese young adults. MATERIALS AND METHODS: A total of 900 college students (475 male and 425 female) of Chinese Han ethnicity from the northern China were included. Measurements of the labial region included 14 linear items and seven proportions. RESULTS: All the linear measurements of the males were significantly higher than those of the females (all P < 0...
February 13, 2019: Skin Research and Technology
Cody P Doyle, Daniel A Degner
OBJECTIVE:  The aim of this study was to evaluate the angiosome of the superior and inferior labial arteries within the superior and inferior labia and to describe superior and inferior labial musculomucosal axial pattern flaps that can be used for intra-oral wound reconstruction. This study also presents the clinical use of a superior labial musculomucosal flap in a dog. MATERIALS AND METHODS:  The common carotid arteries of six canine cadavers were injected with barium sulphate...
February 8, 2019: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
James F Thornton, Muhammad H Harirah
No abstract text is available yet for this article.
February 2019: Plastic and Reconstructive Surgery
Frederick J Menick
No abstract text is available yet for this article.
February 2019: Plastic and Reconstructive Surgery
Ara A Salibian, Barry M Zide
Restoration of the upper lip provides a reconstructive challenge because of its anatomical and aesthetic requirements. This article provides a "where is it on the lip" approach to reconstruct small to subtotal defects of the upper lip that are feasible to perform in the office setting. Emphasis is placed on adherence to core principles, attention to macroaesthetic and microaesthetic landmarks, and technical refinements of well-established reconstructive techniques. These tenets include algorithms for central and lateral defects, precise use of the Abbe flap, use of local tissue rearrangement and skin grafts, and appropriate management of scars...
February 2019: Plastic and Reconstructive Surgery
Yosuke Niimi, Hajime Matsumine, Satoshi Fukuda, John R Salsbury, Yu Niimi, David N Herndon, Donald S Prough, Perenlei Enkhbaatar
BACKGROUND: The lack of a clinically relevant animal model for facial nerve research is a challenge. The goal of this study was to investigate the anatomy of the ovine facial and hypoglossal nerves to establish a clinically relevant facial nerve research model. MATERIALS AND METHODS: Six cadaver female Merino sheep (33.5 ± 3 kg, approximately 3 years old) and three anesthetized female Merino sheep (30 ± 3 kg, approximately 3 years old) were used. In cadaver sheep, a right side preauricular to submandibular incision was made...
January 21, 2019: Microsurgery
Joseph J Rousso, Manoj T Abraham, Collin Rozanski
IMPORTANCE: To identify ways to improve care to underserved international populations. OBJECTIVE: To analyze the authors' data in hopes of meeting further needs. DESIGN: This is a retrospective review of medical missions using data from the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) Face to Face) Database. SETTING: International sites of AAFPRS approved surgical mission trips. PARTICIPANTS: One thousand six hundred forty-six patients who were seen by an AAFPRS mission trip between January 12, 2010 and April 27, 2017...
January 17, 2019: Journal of Craniofacial Surgery
Vedran Uglesic, Kavit Amin, Emil Dediol, Damir Kosutic
BACKGROUND: Lower lip reconstruction remains a challenging task due to multi-functional and high aesthetic requirements that have to be achieved for successful outcome. This is particularly true to near-total lower lip defects, encompassing over 70% of lower lip loss due to cancer, trauma or burns. Despite the fact that numerous flaps and their modifications have been described over the past century, only a few valuable techniques and concepts withstood the test of time for sub-total lower lip defects, each having their own drawbacks...
November 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Gábor Mohos, Ádám Kocsis, Gábor Erős, Csilla Korponyai, Ákos Varga, Balázs Bende, János Varga
AIM OF THE STUDY: During the reconstruction of alar defects involving the upper lip, reconstructive surgeons face the need for various thicknesses of tissues crucial to preserving the facial sulcus which is important for a cosmetically acceptable result. Our aim was to reconstruct the deep perialar and thinner lateral nasal alar defect in a single step procedure with a suitable flap which is reliable, has appropriate blood supply and provides an esthetically good result. MATERIALS AND METHODS: Extended alar defect was reconstructed with a combined flap in 10 cases...
January 15, 2019: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
Namiko Kimura, Etsuro Nozoe, Takako Okawachi, Kiyohide Ishihata, Takao Fuchigami, Norifumi Nakamura
PURPOSE: To analyze three-dimensional (3D) nasolabial forms and upper lip surface symmetry after primary lip repair in children with unilateral cleft lip and palate (UCLP). METHODS: Subjects were 22 Japanese children with complete UCLP who underwent primary lip repair and were followed-up for 4-6 years. The 3D coordinates of facial landmarks and the angle and radius of the approximate nasal alar circle were calculated. Upper lip surface symmetry was analyzed using histogram intersection...
December 5, 2018: Journal of Cranio-maxillo-facial Surgery
Hau Xuan Nguyen, Hung Van Nguyen, Hien Xuan Nguyen, Quang Van Le
INTRODUCTION: Squamous cell carcinoma (SCC) of lower lip comprises over 25% of oral cancer. Surgical treatment plan for SCC patients includes tumor excision, lymph node dissection and reconstruction. CASE PRESENTATION: A 68-year-old patient was admitted with 1-year history of tumor in his lower lip. Examination revealed a large lower lip tumor with expansion to the upper lip and a 2 cm submental lymph node. Biopsy result of the tumor was SCC and fine needle aspiration result of the lymph node was metastasis SCC...
2018: International Journal of Surgery Case Reports
Shahrouz Zarrabi, Mark Welch, John Neary, Beom-June Kim
A 61-year-old woman who lost her nose, upper lip, and most of her midface bony structures because of cancer 20 years previously underwent advanced surgical reconstruction. This patient previously underwent multiple reconstructive surgeries that failed to satisfactorily restore her nose. Therefore, a multistage reconstruction was performed to recreate a complete nose and increase her upper lip length. Because of a lack of sufficient facial bone and nasal supporting structures, the reconstruction was extremely challenging...
November 22, 2018: Journal of Oral and Maxillofacial Surgery
Charles C L Tong, Zachary P Vandegriend, Yan H Lee, William Lawson
OBJECTIVE: The aim of this study was to establish the anatomic basis for functional upper and lower lip reconstruction with locoregional flaps. DESIGN, SETTING, AND PARTICIPANTS: This article is an anatomic fresh cadaver study. RESULTS: For lower lip reconstruction, the modified Bernard-Webster and Karapandzic flaps preserve the modiolus, buccinator, zygomaticus major muscle, and buccal branches of the facial nerve. The Bernard-Webster flap allowed for a larger oral aperture despite a larger defect, but required transection of the lower lip depressors and orbicularis oris...
December 13, 2018: Annals of Plastic Surgery
Masamitsu Kuwahara, Satoshi Yurugi, Chikako Sasaki, Takashi Nakanishi, Mika Takeuchi, Riyo Miyata, Masayuki Harada, Yasumitsu Masuda
We report a case, function preservation of the upper lip after tumor resection was possible using residual orbicularis oris muscle and attached levator labii superioris alaeque nasi. Patient was 67-year-old male with squamous cell carcinoma at the vermilion border. The tumor was resected with an 8-mm margin, leaving the oral mucosa as intact as possible. To reconstruct the red lip, we used the oral mucosa as a rotational transposition flap. The white lip was reconstructed with a cheek rotation flap. A levator labii superioris alaque nasi muscle flap, which was attached to the remaining orbicularis oris muscle, was used to increase marginal lip volume...
October 2018: Plastic and Reconstructive Surgery. Global Open
Kate Elzinga, Abelardo Medina, Regan Guilfoyle
The nose plays a critical role in olfaction, air filtration and humidification, and facial aesthetics. Most nasal amputations result from animal bites, human bites, and lacerations from glass. Successful replantation yields the best aesthetic and functional outcomes and is preferred compared with multistage nasal reconstruction. However, nasal replantation is technically challenging; establishing venous outflow can be particularly difficult. A 17-year-old male sustained a complete nose and upper lip amputation in a motor vehicle accident...
October 2018: Plastic and Reconstructive Surgery. Global Open
Jyotsna Murthy
Aim: Repair of cleft lip aims to bring symmetry and provide normal aesthetics for the lip. Several techniques have been employed; however, the finer aspect of median lip tubercle has not been emphasised in cleft lip repair. Materials and Methods: We have modified cleft lip repair, both unilateral and bilateral, preserving all the tissues of the median tubercle to provide normal-looking median tubercle of the lip. The modified technique was carried out by a single surgeon on 322 cases of unilateral cleft lip and 68 cases of bilateral cleft lip...
May 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Lara Valentina Comini, Giuseppe Spinelli, Giuditta Mannelli
PURPOSE: Local flaps are currently considered the main reconstructive option for medium-size oral and peri-oral defects; however, their indications are sometimes challenging to select. The aim of this study was to critically analyse their selection and to propose a therapeutic algorithm. MATERIALS AND METHODS: We performed a search on PubMed regarding the medium-size oral and peri-oral defects reconstruction, and we collected data on the aetiology, the location of the defect, the type of flap used and postoperative complications...
October 6, 2018: Journal of Cranio-maxillo-facial Surgery
Songsu Kang, Keisuke Imai, Takeshi Masuoka, Daisuke Sakahara, Koji Kawamoto, Jumpei Tsumoto
Reports of median cleft lip with nasal anomalies are few, and descriptions of concomitant surgical repair of a median cleft lip and bifid nose deformity are similarly rare. These surgical repair techniques mainly involve the use of normal neighboring structures. Reconstruction of the columella and nasal base is especially important. A new surgical procedure was examined using bilateral cleft margin flaps for patients with a rare median cleft lip. Two patients with a rare median cleft lip were indicated for the procedure...
November 9, 2018: Journal of Craniofacial Surgery
Guo Jun, Fei Wei, Liu Tong, Huang Yi, Zhou Hao, Li Shuang Jun
BACKGROUND: It is hardly to reconstruct a huge defect of lower lip by using of partial flap which brings no mouth closing functional problem. In this study, we would like to introduce our experience in large full-thickness vermilion and lower lip/chin defects reconstruction, and also focus on the evaluation of the surgery effects. METHODS: The large lower lip and chin (include vermilion) reconstruction were performed in Sichuan Provincial People's Hospital (2012-2015)...
October 29, 2018: Journal of Craniofacial Surgery
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