Upper Lip Angular Skin-Muscle-Mucosal Flap to Lower Lip



Upper Lip Angular Skin-Muscle-Mucosal Flap to Lower Lip


C. R. BALCH



A cross-lip flap from the upper lip provides the best repair for many defects of the lower lip (1). The angular musculocutaneous flap minimizes the resulting deformity in the donor (upper) lip that is frequently associated with other flap designs (2, 3).




INDICATIONS

The elasticity of the lips and the design of the angular flap allow this flap to be used for reconstruction of large wedge, rectangular, or trapezoidal defects of the lower lip. After creation of the flap, its shape may be modified to fit the defect. The scar of the upper lip is partly concealed in the nasolabial fold (see Fig. 170.2).






FIGURE 170.1 A: Design of the angular cross-lip flap. B: Rotation of the flap and closure of the donor site. (From Balch, ref. 1, with permission.)

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Jun 26, 2016 | Posted by in General Surgery | Comments Off on Upper Lip Angular Skin-Muscle-Mucosal Flap to Lower Lip

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