Reconstruction of the upper lip

From WikiLectures

Nasolabial transposition lobe or bilateral V-Y shift
  • for minor defects
Abbe's lobe
  • by twisting the tissue of the lower lip
Lateral shift
  • with the loss of around 40% of the upper lip, especially its lat. parts
  • "Zisser-Madden method" (lateral shift with removal of the lower lip triangle)
  • when central reconstruction is needed, lateral shift with bilateral perialar excisions is used
Karapandzic's method
Combination
  • in practice, it is most suitable to "combine" the previous methods of reconstruction
With complete loss of the upper lip
  • tissue transfer through the bridging lobe from the neck (according to Tzura)
  • V- lobe from the forehead + hairline, supplied with branches of a.temporalis (according to Wilson)
  • both operations two-stage (lobe to the defect → acquires vascularization at the transfer site → detachment of the lobe)


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