Aesthetic and Functional Reconstruction of Large Lower Lip Defects with Depressor Anguli Oris Flap: A Case Report

Yıl 2010, Cilt: 17 Sayı: 2, 131 - 134, 01.04.2010

Rıfat Karlı

Öz

The upper and lower lips are prominent facial features of significant importance for aesthetic and functional reasons. Especially the lower lip, are high risk for cutaneous malignancy. Large defects extending to the lip area can be difficult to manage with only local flaps. Therofore, restoration of the deformed lip parts becomes very important. In this case, we presented an elderly patient who is the large defect at the lower lip after resection was repaired by using a guadrangular shaped depressor anguli oris flap. An aesthetically and functionally satisfactory result with adequate mouth opening was obtained consequently. Key words: Lower Lip Cancer, Depressor Anguli Oris Flap, Adequate Mouth Opening

Anahtar Kelimeler

Lower Lip Cancer, Depressor Anguli Oris Flap, Adequate Mouth Opening

Geniş Alt Dudak Defektinin Depresör Anguli Oris Flebi İle Estetik ve Fonksiyonel Rekonstrüksiyonu: Olgu Sunumu

Öz

Alt ve üst dudaklar estetik ve fonksiyonel açıdan yüze ait belirgin önemi olan yapılardır. Özellikle alt dudak deri kanseri için yüksek risklidir. Dudak bölgesindeki büyük defektlerin yalnızca lokal flepler ile onarımı güç olabilir. Bu yüzden dudak hasarının onarımı büyük önem taşımaktadır. Bu makalede yapılan rezeksiyon sonrası alt dudakta oluşan geniş defektin kuadranguler şekilli depresör anguli oris flebi kullanılarak onarıldığı yaşlı bir olgu sunulmuştur. Normal ağız açıklığının sağlandığı fonksiyonel ve estetik açıdan tatmin edici sonuç elde edilmiştir. Anahtar kelimeler: Alt Dudak Kanseri, Depresör Anguli Oris Flebi, Yeterli Ağız Açıklığı

Anahtar Kelimeler

Alt Dudak Kanseri, Depresör Anguli Oris Flebi, Yeterli Ağız Açıklığı

Kaynakça

• Ono I, Yamashita T, Kamiya T, Takada T, Kaneko R, Jimbow K. Lower lip and vermilion reconstruction with buccal musculomucosal flap combined with V-Y plasty after malignant tumor excision. Plast Reconstr Surg 2006; 117(7):133-39.
• Hatoko M, Tada H, Kuwahara M, Tanaka A, Yurugi S, Mashiba K. Lip reconstruction of comparatively large defect including the commissure using remaining lip tissue: a modification of reconstructed method. Aesthetic Plast Surg 2001;25(1):25-8.
• Ishii LE, Byrne PJ. Lip reconstruction. Facial Plast Surg Clin North Am. 2009;17(3):445-53
• Luce EA. Reconstruction of the lower lip. Clin Plast Surg 1995; 22(1):109-121.
• Dediol E, Luksic I, Virag M. Treatment of squamous cell carcinoma of the lip. Coll Antropol 2008;32 Suppl 2:199-202.
• Yotsuyanagi T, Nihei Y, Yokoi K, Sawada Y. Functional reconstruction using a depressor anguli oris musculocutaneous flap for large lower lip defects, especially for elderly patients. Plast Reconstr Surg 1999; 103(3):850-56.
• Closmann JJ, Pogrel MA, Schmidt BL. Reconstruction of perioral defects following resection for oral squamous cell carcinoma. J Oral Maxillofac Surg 2006; 64(3):367-74.
• Tobin GR, O'Daniel TG. Lip reconstruction with motor and sensory innervated composite flaps. Clin Plast Surg 1990; 17(4):623-32.
• Kushima H, Iwasawa M, Kiyono M, Ohtsuka Y, Hataya Y. Functional reconstruction of total lower lip defects with a radial forearm free flap combined with a depressor anguli oris muscle transfer. Ann Plast Surg 1997; 39(2):182-5.
• Katırcıoglu A, Gökrem S, Özdemir O, Özakpınar H, Ersoy A, Can Z et al. Alt dudak defektlerinin rekonstriksiyonu: 43 olgunun değerlendirilmesi. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2001; 54(3):345-56.
• Tellioğlu AT, Akyüz M. Functional reconstruction of total lower lip defects with a radial forearm free flap combined with a depressor anguli oris muscle transfer. Ann Plast Surg 2000;45(1):71-3.