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Fujimori gate flap: an old flap for reconstruction of lower lip defects due to lower lip carcinoma resection

Yıl 2014, Cilt: 24 Sayı: 3, 153 - 158, 19.06.2014

Öz

Objectives: This study aims to present our clinic experiences on the Fujimori gate flap used for reconstruction of lower lip defect due to lower lip carcinoma. Patients and Methods: This retrospective study included 19 patients 7 females, 12 males; mean age 60.3 years; range 41 to 79 years who underwent reconstruction with the Fujimori-gate flap between January 2006 and March 2011. Demographic features of all patients and postoperative long-term functional and aesthetic results were reviewed. Results: The mean size of the defects was 34.2 mm range, 10 to 60 mm . Totally 27 flaps were elevated. No complication was observed after surgical procedure. In the long-term, nine patients underwent minor revisions. None of the patients showed local recurrence. Conclusion: Fujimori gate flap may be used for the reconstruction of the soft tissue loss after tumor surgery at lower lip.

Kaynakça

  • Regezi JA, Sciubba JJ, Jordan RCK. Oral Pathology: Clinical-Pathologic Correlations. Philadelphia: Saunders; 1994.
  • Moore S, Johnson N, Pierce A, Wilson D. The epidemiology of lip cancer: a review of global incidence and aetiology. Oral Dis 1999;5:185-95.
  • Bernstein SC, Lim KK, Brodland DG, Heidelberg KA. The many faces of squamous cell carcinoma. Dermatol Surg 1996;22:243-54.
  • Zide BM, Stile FL. Reconstructive surgery of the lips. Grabb and Smith’s Plastic Surgery, 5th ed.In: Aston SJ, Beasley RW, Thorne CHM, editors. Philadelphia: Lippincott-Raven Publishers; 1997. p. 483-500.
  • Yildirim S, Karaca M, Bilgiç IM, Akoz T. Lower lip reconstruction with neck flaps as a salvage procedure. J Craniofac Surg 2010;21:840-2.
  • Zitsch RP 3rd, Park CW, Renner GJ, Rea JL. Outcome analysis for lip carcinoma. Otolaryngol Head Neck Surg 1995;113:589-96.
  • Zitsch RP 3rd. Carcinoma of the lip. Otolaryngol Clin North Am 1993;26:265-77.
  • Hosal IN, Onerci M, Kaya S, Turan E. Squamous cell carcinoma of the lower lip. Am J Otolaryngol 1992;13:363-5.
  • Kayıkcıoglu A, Mavili ME, Moray G. Dudak defektlerinin rekonstrüksiyonu. Cerrahi tıp Bülteni 1993:2;173-80.
  • Abulafia AJ, Edilberto L, Fernanda V. Reconstruction of the lower lip and chin with local flaps. Plast Reconstr Surg 1996;97:847-9.
  • Tellioglu AT, Kocer U, Celebioglu S, Sensoz O, Akyuz M. Applications of innervated depressor anguli oris flap in lower lip reconstruction. Türk Plastik Cerrahi Dergisi 1994;2:41-5.
  • Roldán JC, Teschke M, Fritzer E, Dunsche A, Härle F, Wiltfang J, et al. Reconstruction of the lower lip: rationale to preserve the aesthetic units of the face. Plast Reconstr Surg 2007;120:1231-9.
  • Turgut G, Ozkaya O, Kayali MU, Tatlidede S, Hüthüt I, Baş L. Lower lip reconstruction with local neuromusculocutaneous advancement flap. J Plast Reconstr Aesthet Surg 2009;62:1196-201.
  • Matteini C, Mazzone N, Rendine G, Belli E. Lip reconstruction with local m-shaped composite flap. J Craniofac Surg 2010;21:225-8.
  • Mutaf M, Bulut O, Sunay M, Can A. Bilateral musculocutaneous unequal-Z procedure: a new technique for reconstruction of total lower-lip defects. Ann Plast Surg 2008;60:162-8.
  • Aytekin A, Ay A, Aytekin O. Total upper lip reconstruction with bilateral Fujimori gate flaps. Plast Reconstr Surg 2003;111:797-800.
  • Ay A, Aytekin A, Aytekin O. Mucosal meshing technique in lip reconstruction with unilateral gate flap. Plast Reconstr Surg 2004;114:147-51.
  • Keskin M, Sutcu M, Tosun Z, Savaci N. Reconstruction of total lower lip defects using radial forearm free flap with subsequent tongue flap. J Craniofac Surg 2010;21:349-51.
  • Ueda K, Oba S, Nakai K, Okada M, Kurokawa N, Nuri T. Functional reconstruction of the upper and lower lips and commissure with a forearm flap combined with a free gracilis muscle transfer. J Plast Reconstr Aesthet Surg 2009;62:e337-40.
  • Yildirim S, Gideroğlu K, Aydogdu E, Avci G, Akan M, Aköz T. Composite anterolateral thigh-fascia lata flap: a good alternative to radial forearm-palmaris longus flap for total lower lip reconstruction. Plast Reconstr Surg 2006;117:2033-41.
  • Langdon JD, Ord RA. The surgical management of lip cancer. J Craniomaxillofac Surg 1987;15:281-7.
  • Koç C, Akyol MU, Celikkanat S, Cekiç A, Ozdem C. Role of suprahyoid neck dissection in the treatment of squamous cell carcinoma of the lower lip. Ann Otol Rhinol Laryngol 1997;106:787-9.
  • Luce EA. Reconstruction of the lower lip. Clin Plast Surg 1995;22:109-21.
  • Fujimori R. Nasolabial (gate) skin-muscle-mucosal flap to lower lip. In: Strauch B, Vasconez LO, Hall-Findaly EJ, editors. Grabb’s Encyclopedia of Flaps. 1st ed. Chapter 153. Philadelphia: Lippincott-Raven; 1990. p. 655-8.

Fujimori gate flep: Alt dudak karsinomunun rezeksiyonu nedeniyle oluşan alt dudak defektlerinin rekonstrüksiyonunda eski bir flep

Yıl 2014, Cilt: 24 Sayı: 3, 153 - 158, 19.06.2014

Öz

Amaç: Bu çalışmada alt dudak karsinomuna bağlı alt dudak defektlerinin rekonstrüksiyonunda kullanılan Fujimori gate flebi ile ilgili klinik deneyimlerimiz sunuldu.Hastalar ve Yöntemler: Ocak 2006 - Mart 2011 tarihleri arasında Fujimori gate flep ile rekonstrükte edilmiş 19 hasta 7 kadın, 12 erkek; ort. yaş 60.3 yıl; dağılım 41-79 yıl bu retrospektif çalışmaya alındı. Tüm hastaların demografik özellikleri ve ameliyat sonrası uzun dönem fonksiyonel ve estetik sonuçları incelendi.Bulgular: Ortalama defekt boyutu 34.2 mm dağılım, 10-60 mm idi. Toplam 27 flep eleve edildi. Ameliyattan sonra hiçbir komplikasyon izlenmedi. Dokuz hastaya uzun dönemde minör revizyon uygulandı. Hiçbir hastada lokal nüks meydana gelmedi. Sonuç: Fujimori gate flep alt dudak tümörlerinin cerrahisi sonrası gelişen doku kayıplarının rekonstrüksiyonunda kullanılabilir

Kaynakça

  • Regezi JA, Sciubba JJ, Jordan RCK. Oral Pathology: Clinical-Pathologic Correlations. Philadelphia: Saunders; 1994.
  • Moore S, Johnson N, Pierce A, Wilson D. The epidemiology of lip cancer: a review of global incidence and aetiology. Oral Dis 1999;5:185-95.
  • Bernstein SC, Lim KK, Brodland DG, Heidelberg KA. The many faces of squamous cell carcinoma. Dermatol Surg 1996;22:243-54.
  • Zide BM, Stile FL. Reconstructive surgery of the lips. Grabb and Smith’s Plastic Surgery, 5th ed.In: Aston SJ, Beasley RW, Thorne CHM, editors. Philadelphia: Lippincott-Raven Publishers; 1997. p. 483-500.
  • Yildirim S, Karaca M, Bilgiç IM, Akoz T. Lower lip reconstruction with neck flaps as a salvage procedure. J Craniofac Surg 2010;21:840-2.
  • Zitsch RP 3rd, Park CW, Renner GJ, Rea JL. Outcome analysis for lip carcinoma. Otolaryngol Head Neck Surg 1995;113:589-96.
  • Zitsch RP 3rd. Carcinoma of the lip. Otolaryngol Clin North Am 1993;26:265-77.
  • Hosal IN, Onerci M, Kaya S, Turan E. Squamous cell carcinoma of the lower lip. Am J Otolaryngol 1992;13:363-5.
  • Kayıkcıoglu A, Mavili ME, Moray G. Dudak defektlerinin rekonstrüksiyonu. Cerrahi tıp Bülteni 1993:2;173-80.
  • Abulafia AJ, Edilberto L, Fernanda V. Reconstruction of the lower lip and chin with local flaps. Plast Reconstr Surg 1996;97:847-9.
  • Tellioglu AT, Kocer U, Celebioglu S, Sensoz O, Akyuz M. Applications of innervated depressor anguli oris flap in lower lip reconstruction. Türk Plastik Cerrahi Dergisi 1994;2:41-5.
  • Roldán JC, Teschke M, Fritzer E, Dunsche A, Härle F, Wiltfang J, et al. Reconstruction of the lower lip: rationale to preserve the aesthetic units of the face. Plast Reconstr Surg 2007;120:1231-9.
  • Turgut G, Ozkaya O, Kayali MU, Tatlidede S, Hüthüt I, Baş L. Lower lip reconstruction with local neuromusculocutaneous advancement flap. J Plast Reconstr Aesthet Surg 2009;62:1196-201.
  • Matteini C, Mazzone N, Rendine G, Belli E. Lip reconstruction with local m-shaped composite flap. J Craniofac Surg 2010;21:225-8.
  • Mutaf M, Bulut O, Sunay M, Can A. Bilateral musculocutaneous unequal-Z procedure: a new technique for reconstruction of total lower-lip defects. Ann Plast Surg 2008;60:162-8.
  • Aytekin A, Ay A, Aytekin O. Total upper lip reconstruction with bilateral Fujimori gate flaps. Plast Reconstr Surg 2003;111:797-800.
  • Ay A, Aytekin A, Aytekin O. Mucosal meshing technique in lip reconstruction with unilateral gate flap. Plast Reconstr Surg 2004;114:147-51.
  • Keskin M, Sutcu M, Tosun Z, Savaci N. Reconstruction of total lower lip defects using radial forearm free flap with subsequent tongue flap. J Craniofac Surg 2010;21:349-51.
  • Ueda K, Oba S, Nakai K, Okada M, Kurokawa N, Nuri T. Functional reconstruction of the upper and lower lips and commissure with a forearm flap combined with a free gracilis muscle transfer. J Plast Reconstr Aesthet Surg 2009;62:e337-40.
  • Yildirim S, Gideroğlu K, Aydogdu E, Avci G, Akan M, Aköz T. Composite anterolateral thigh-fascia lata flap: a good alternative to radial forearm-palmaris longus flap for total lower lip reconstruction. Plast Reconstr Surg 2006;117:2033-41.
  • Langdon JD, Ord RA. The surgical management of lip cancer. J Craniomaxillofac Surg 1987;15:281-7.
  • Koç C, Akyol MU, Celikkanat S, Cekiç A, Ozdem C. Role of suprahyoid neck dissection in the treatment of squamous cell carcinoma of the lower lip. Ann Otol Rhinol Laryngol 1997;106:787-9.
  • Luce EA. Reconstruction of the lower lip. Clin Plast Surg 1995;22:109-21.
  • Fujimori R. Nasolabial (gate) skin-muscle-mucosal flap to lower lip. In: Strauch B, Vasconez LO, Hall-Findaly EJ, editors. Grabb’s Encyclopedia of Flaps. 1st ed. Chapter 153. Philadelphia: Lippincott-Raven; 1990. p. 655-8.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Araştırma Makalesi
Yazarlar

Elif Sarı Bu kişi benim

Hülda Rıfat Özakpınar Bu kişi benim

Emre İnözü Bu kişi benim

Tolga Eryılmaz Bu kişi benim

Mustafa Durgun Bu kişi benim

Esabil Eker Bu kişi benim

Ali Teoman Tellioğlu Bu kişi benim

Yayımlanma Tarihi 19 Haziran 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 24 Sayı: 3

Kaynak Göster

APA Sarı, E., Özakpınar, H. R., İnözü, E., Eryılmaz, T., vd. (2014). Fujimori gate flap: an old flap for reconstruction of lower lip defects due to lower lip carcinoma resection. The Turkish Journal of Ear Nose and Throat, 24(3), 153-158.
AMA Sarı E, Özakpınar HR, İnözü E, Eryılmaz T, Durgun M, Eker E, Tellioğlu AT. Fujimori gate flap: an old flap for reconstruction of lower lip defects due to lower lip carcinoma resection. Tr-ENT. Haziran 2014;24(3):153-158.
Chicago Sarı, Elif, Hülda Rıfat Özakpınar, Emre İnözü, Tolga Eryılmaz, Mustafa Durgun, Esabil Eker, ve Ali Teoman Tellioğlu. “Fujimori Gate Flap: An Old Flap for Reconstruction of Lower Lip Defects Due to Lower Lip Carcinoma Resection”. The Turkish Journal of Ear Nose and Throat 24, sy. 3 (Haziran 2014): 153-58.
EndNote Sarı E, Özakpınar HR, İnözü E, Eryılmaz T, Durgun M, Eker E, Tellioğlu AT (01 Haziran 2014) Fujimori gate flap: an old flap for reconstruction of lower lip defects due to lower lip carcinoma resection. The Turkish Journal of Ear Nose and Throat 24 3 153–158.
IEEE E. Sarı, H. R. Özakpınar, E. İnözü, T. Eryılmaz, M. Durgun, E. Eker, ve A. T. Tellioğlu, “Fujimori gate flap: an old flap for reconstruction of lower lip defects due to lower lip carcinoma resection”, Tr-ENT, c. 24, sy. 3, ss. 153–158, 2014.
ISNAD Sarı, Elif vd. “Fujimori Gate Flap: An Old Flap for Reconstruction of Lower Lip Defects Due to Lower Lip Carcinoma Resection”. The Turkish Journal of Ear Nose and Throat 24/3 (Haziran 2014), 153-158.
JAMA Sarı E, Özakpınar HR, İnözü E, Eryılmaz T, Durgun M, Eker E, Tellioğlu AT. Fujimori gate flap: an old flap for reconstruction of lower lip defects due to lower lip carcinoma resection. Tr-ENT. 2014;24:153–158.
MLA Sarı, Elif vd. “Fujimori Gate Flap: An Old Flap for Reconstruction of Lower Lip Defects Due to Lower Lip Carcinoma Resection”. The Turkish Journal of Ear Nose and Throat, c. 24, sy. 3, 2014, ss. 153-8.
Vancouver Sarı E, Özakpınar HR, İnözü E, Eryılmaz T, Durgun M, Eker E, Tellioğlu AT. Fujimori gate flap: an old flap for reconstruction of lower lip defects due to lower lip carcinoma resection. Tr-ENT. 2014;24(3):153-8.