BibTex RIS Kaynak Göster

Büyük Kommissür ve Alt Dudak Defekt Rekonstrüksiyonunda Zisser ve Bernard-Burovv Flep Modifikasyonu

Yıl 2007, Cilt: 40 Sayı: 1, 19 - 22, 01.04.2007

İbrahim Keskinöz Mehmet Turanlı Üstün Osma İskender Emre İnan Caner Kılıç Kadir Fırat Nalan Alev Alp

Öz

After resection, because of lovver lip and commissure carcinoma, two cases were reconstructed by local flaps. İn the first case, in addition to modified Bernard-Burovv method, local rotation flap was applied. İn the second case, the modified Zisser flap was applied. İn the former case, the opposite cheek skin vvas used in order to make a lovver lip. Instead of the primer sutu-ration of upper lip remnant and lovver lip, the reconstruction of the defected area through nasolabial rotation flap vvas perfor-med. These surgical procedures lead to an appropriate oral entery. İn the latter case, the problems occured because of horizontal and vertical incision during the Zisser flap procedure were reconstructed by Z-plasty. İt is considered that better results can be accomplished when the modified Bernard-Burovv and Zisser methods were used in the cases which the reconstruction seems difficult t o be applied in large commissure and lovver lip defects.

Anahtar Kelimeler

Lip reconstruction commissure rotational flap lip flap lovver lip carcinoma.

Kaynakça

  • Hatoko M, Tada H, Kuwahara M. Lip Reconstruction of Comparatively Large Defect Including the Commissure Using Remaining Lip Reconstructed Method. 2001;25:25-8.
  • Ono I, Yamashita T, Kamiya T, Takada T, Kaneko R, Jimbow K. Lovver Lip and Vermilion Reconstruction with Buccal Musculomucosal Flap Combined with V-Y Piasty after Malignant Tumour Excision. Plastic and Reconstructive Surgery 2006;117:133-9.
  • Demir Y, Latifoğlu O, Yavuzer R, Atabay K. Oral
  • Commissure Reconstruction with Masseter Muscle Transposition and Cheek Skin Flap. Journal of Cranio Maxillofacial Surgery 2001;29:351-4.
  • Sakai S, Kavvaguchi T, Haibara H. Cheek Flaps for Reconstruction of FuH-Thickness Lip Defects. Annals of Plastic Surgery 1991,26:188-93.
  • Closmann JJ, Pogrel MA, Schmidt BL. Reconstruction of Perioral Defects Follovving Resection for Oral Squamous Celi Carcinoma. Journal Oral Maxillofacial Surgery 2006;64:367-74.
  • VVİlliams III EF, Setzen G, Mulvaney MJ: Modified Bernard- Burovv Cheek Advancement and Cross-Lip Flap for Total Lip Reconstruction. Archives Otolaryngol Head Neck Surgery 1996;122:1253-8.
  • VVechselberger G, Gurunluoglu R, Bauer T, Piza-Katzer H : Functional Lovver Lip Reconstruction with Bilateral Cheek Advancement Flaps: Revisitation of VVebster Method with a Minör Modification in the Technique. Aesthetic Plastic Surgery 2002;26:423-8.
  • Jeng SF, Kuo YR, Wei FC, Su CY, Chien CY. Reconstruction of Concomitant Lip and Cheek Through- and-Through Defects with Combined Free Flap and an Advancement Flap from the Remaining Lip. Plastic Reconstrictive Surgery 2004; 113:491 -8.
  • Zisser G : A Contribution to the Primary Reconstruction of the Upper Lip and Labial Commissure. Journal Maxillofacial Surgery 1975;3:211.

Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction

Yıl 2007, Cilt: 40 Sayı: 1, 19 - 22, 01.04.2007

İbrahim Keskinöz Mehmet Turanlı Üstün Osma İskender Emre İnan Caner Kılıç Kadir Fırat Nalan Alev Alp

Öz

Alt dudak ve kommissür kanseri nedeniyle yapılan rezeksiyon sonrası geniş defekti olan 2 olgu lokal Heplerle rekonstrük-te edildi. Birinci olguda modifiye Bernard-Burovv yöntemi yanında lokal rotasyon flebi uygulandı. İkinci olguda Zisser flebi modi-fiye edilerek uygulandı. Birinci olguda karşı yanak cildi alt dudak oluşturulmasında kullanıldı. Üst dudak kalıntısının alt dudağa primer sütürasyonu yerine defekt tarafında oluşturulan nasolabial rotasyonel fleple rekonstrüksiyon yapıldı. Bu cerrahi müdahaleler uygun oral açıklığın oluşmasını sağladı, ikinci olguda Zisser flebinin oluşturulması sırasında horizontal ve vertikal insizyo-nun meydana getirmiş olduğu olumsuzluklar Z-Plasti ile düzeltildi. Rekonstrüksiyonu büyük zorluklar arz eden geniş kommissür ve alt dudak defektlerinde uygun seçimle Bernard-Burovv ve Zisser gibi tekniklerin modifikasyonlarla uygulanması daha iyi sonuçlar vereceği düşünülmektedir.

Anahtar Kelimeler

Dudak rekonstrüksiyonu kommissür rotasyonel flep dudak flebi alt dudak kanseri.

Kaynakça

  • Hatoko M, Tada H, Kuwahara M. Lip Reconstruction of Comparatively Large Defect Including the Commissure Using Remaining Lip Reconstructed Method. 2001;25:25-8.
  • Ono I, Yamashita T, Kamiya T, Takada T, Kaneko R, Jimbow K. Lovver Lip and Vermilion Reconstruction with Buccal Musculomucosal Flap Combined with V-Y Piasty after Malignant Tumour Excision. Plastic and Reconstructive Surgery 2006;117:133-9.
  • Demir Y, Latifoğlu O, Yavuzer R, Atabay K. Oral
  • Commissure Reconstruction with Masseter Muscle Transposition and Cheek Skin Flap. Journal of Cranio Maxillofacial Surgery 2001;29:351-4.
  • Sakai S, Kavvaguchi T, Haibara H. Cheek Flaps for Reconstruction of FuH-Thickness Lip Defects. Annals of Plastic Surgery 1991,26:188-93.
  • Closmann JJ, Pogrel MA, Schmidt BL. Reconstruction of Perioral Defects Follovving Resection for Oral Squamous Celi Carcinoma. Journal Oral Maxillofacial Surgery 2006;64:367-74.
  • VVİlliams III EF, Setzen G, Mulvaney MJ: Modified Bernard- Burovv Cheek Advancement and Cross-Lip Flap for Total Lip Reconstruction. Archives Otolaryngol Head Neck Surgery 1996;122:1253-8.
  • VVechselberger G, Gurunluoglu R, Bauer T, Piza-Katzer H : Functional Lovver Lip Reconstruction with Bilateral Cheek Advancement Flaps: Revisitation of VVebster Method with a Minör Modification in the Technique. Aesthetic Plastic Surgery 2002;26:423-8.
  • Jeng SF, Kuo YR, Wei FC, Su CY, Chien CY. Reconstruction of Concomitant Lip and Cheek Through- and-Through Defects with Combined Free Flap and an Advancement Flap from the Remaining Lip. Plastic Reconstrictive Surgery 2004; 113:491 -8.
  • Zisser G : A Contribution to the Primary Reconstruction of the Upper Lip and Labial Commissure. Journal Maxillofacial Surgery 1975;3:211.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

İbrahim Keskinöz Bu kişi benim

Mehmet Turanlı Bu kişi benim

Üstün Osma Bu kişi benim

İskender Emre İnan Bu kişi benim

Caner Kılıç Bu kişi benim

Kadir Fırat Bu kişi benim

Nalan Alev Alp Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2007
Yayımlandığı Sayı Yıl 2007 Cilt: 40 Sayı: 1

Kaynak Göster

APA Keskinöz, İ. ., Turanlı, M. ., Osma, Ü. ., İnan, İ. E. ., vd. (2007). Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction. Acta Oncologica Turcica, 40(1), 19-22.
AMA Keskinöz İ, Turanlı M, Osma Ü, İnan İE, Kılıç C, Fırat K, Alp NA. Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction. Acta Oncologica Turcica. Nisan 2007;40(1):19-22.
Chicago Keskinöz, İbrahim, Mehmet Turanlı, Üstün Osma, İskender Emre İnan, Caner Kılıç, Kadir Fırat, ve Nalan Alev Alp. “Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction”. Acta Oncologica Turcica 40, sy. 1 (Nisan 2007): 19-22.
EndNote Keskinöz İ, Turanlı M, Osma Ü, İnan İE, Kılıç C, Fırat K, Alp NA (01 Nisan 2007) Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction. Acta Oncologica Turcica 40 1 19–22.
IEEE İ. . Keskinöz, “Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction”, Acta Oncologica Turcica, c. 40, sy. 1, ss. 19–22, 2007.
ISNAD Keskinöz, İbrahim vd. “Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction”. Acta Oncologica Turcica 40/1 (Nisan 2007), 19-22.
JAMA Keskinöz İ, Turanlı M, Osma Ü, İnan İE, Kılıç C, Fırat K, Alp NA. Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction. Acta Oncologica Turcica. 2007;40:19–22.
MLA Keskinöz, İbrahim vd. “Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction”. Acta Oncologica Turcica, c. 40, sy. 1, 2007, ss. 19-22.
Vancouver Keskinöz İ, Turanlı M, Osma Ü, İnan İE, Kılıç C, Fırat K, Alp NA. Bernard-Burow and Zisser Flap Modification in Large Commissure and Lower Lip Defect Reconstruction. Acta Oncologica Turcica. 2007;40(1):19-22.