Stepladder Skin-Muscle-Mucosal Flap for Lower Lip Reconstruction



Stepladder Skin-Muscle-Mucosal Flap for Lower Lip Reconstruction


A. D. PELLY

E.-P. TAN



It is generally accepted that the orbicularis oris should be reconstructed following major resections of the lower lip. Many methods involving full-thickness flaps from the upper lip are likely to produce further functional disruptions of the circumoral sphincter. Dissatisfaction with these methods of repair led surgeons to develop alternative techniques (1, 2, 3).




OPERATIVE TECHNIQUE

The extent of a full-thickness excision of the lip is outlined along with a stepladder incision over the right side of the lower lip (Fig. 166.1A). The lesion is excised, and the right lower lip is advanced by the stepladder technique (Fig. 166.1B). A prophylactic vermilionectomy is carried out on the remainder of the right lower lip.

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Jun 26, 2016 | Posted by in General Surgery | Comments Off on Stepladder Skin-Muscle-Mucosal Flap for Lower Lip Reconstruction
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