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Hu Y, Yang WJ, Luo XY, Peng JZ. Composite subcutaneous pedicled flaps in repairing defects following resection of tumors of the lower lip. J Dtsch Dermatol Ges 2023; 21:918-920. [PMID: 37278594 DOI: 10.1111/ddg.15106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 03/23/2023] [Indexed: 06/07/2023]
Affiliation(s)
- Yong Hu
- Department of Dermatologic Surgery, Hangzhou Third People's Hospital, Hangzhou, Zhejiang, China
| | - Wen Jia Yang
- Department of Dermatologic Surgery, Hangzhou Third People's Hospital, Hangzhou, Zhejiang, China
| | - Xian Yan Luo
- Department of Dermatologic Surgery, Hangzhou Third People's Hospital, Hangzhou, Zhejiang, China
| | - Jian Zhong Peng
- Department of Dermatologic Surgery, Hangzhou Third People's Hospital, Hangzhou, Zhejiang, China
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Hu Y, Yang WJ, Luo XY, Peng JZ. Kombinierter subkutan gestielter Lappen zur Defektdeckung nach Resektion von Tumoren der Unterlippe. J Dtsch Dermatol Ges 2023; 21:918-920. [PMID: 37574667 DOI: 10.1111/ddg.15106_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 03/23/2023] [Indexed: 08/15/2023]
Affiliation(s)
- Yong Hu
- Department of Dermatologic Surgery, Hangzhou Third People's Hospital, Hangzhou, Zhejiang, China
| | - Wen Jia Yang
- Department of Dermatologic Surgery, Hangzhou Third People's Hospital, Hangzhou, Zhejiang, China
| | - Xian Yan Luo
- Department of Dermatologic Surgery, Hangzhou Third People's Hospital, Hangzhou, Zhejiang, China
| | - Jian Zhong Peng
- Department of Dermatologic Surgery, Hangzhou Third People's Hospital, Hangzhou, Zhejiang, China
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Bohne AS, Dunsche A, Kaeding M. Die Kombination des Brückenlappens nach Wilson mit A‐T‐Plastik bei ausgedehnten Lippenrotdefekten und Defekten der Lippenhaut. J Dtsch Dermatol Ges 2021; 19:147-150. [PMID: 33491902 DOI: 10.1111/ddg.14214_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Ann-Sophie Bohne
- Klinik für Dermatologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
| | - Anton Dunsche
- Klinik für Mund-, Kiefer- und Gesichtschirurgie, Städtisches Klinikum Karlsruhe
| | - Merit Kaeding
- Klinik für Dermatologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
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Bohne AS, Dunsche A, Kaeding M. The combination of the Wilson bridge flap with A-T advancement flap for extensive red lip defects and defects of the skin of the lip. J Dtsch Dermatol Ges 2020; 19:147-150. [PMID: 32776687 DOI: 10.1111/ddg.14214] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Ann-Sophie Bohne
- Department of Dermatology, University Hospital Schleswig--Holstein, Campus Kiel, Kiel, Germany
| | - Anton Dunsche
- Department for Oral and Maxillofacial Surgery, Municipal Hospital Karlsruhe, Karlsruhe, Germany
| | - Merit Kaeding
- Department of Dermatology, University Hospital Schleswig--Holstein, Campus Kiel, Kiel, Germany
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5
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Chang SH, Huang ZS, Chen WL, Zhou B, Zhong JL. Vermilionectomy followed by reconstruction of the vermilion mucosa using allograft dermal matrix in patients with actinic cheilitis of the lower lip. J Cosmet Dermatol 2020; 20:263-266. [PMID: 32396694 DOI: 10.1111/jocd.13473] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Revised: 03/25/2020] [Accepted: 05/02/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND When treating actinic cheilitis (AC), it is essential to minimize the risk of malignant transformation (MT) and maintain lip functionality and cosmesis. AIMS We evaluated the outcomes of vermilionectomy followed by reconstruction of the vermilion mucosa using allograft dermal matrix (ADM) in patients with AC of the lower lip. MATERIALS AND METHODS We evaluated eight patients with lower lip AC who underwent vermilion mucosa reconstruction using ADM after vermilionectomy. We enrolled five males and three females ranging in age from 55 to 70 years (mean, 62.1 years). The ADM ranged in area from 1.3 × 5.0 to 1.7 × 5.8 cm (median, 1.6 × 5.5 cm). All patients were followed up for at least 3 months postoperatively by a panel of three surgeons who assessed the esthetic results, and orbicularis oris and speech functions. RESULTS All patients underwent successful reconstruction of the vermilion mucosa using ADM after vermilionectomy, without complications. The postoperative esthetic results, and the orbicularis oris and speech functions, were satisfactory to excellent in all patients. Patients were followed up for 18-38 months (median, 26.1 months). No MT or recurrence was noted. CONCLUSIONS Vermilionectomy followed by reconstruction of the vermilion mucosa with ADM is safe and feasible for AC patients.
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Affiliation(s)
- Shao-Hai Chang
- Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
| | - Zhuo-Shan Huang
- Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
| | - Wei-Liang Chen
- Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
| | - Bin Zhou
- Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
| | - Jiang-Long Zhong
- Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China
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6
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Madorsky S, Meltzer O. Myomucosal Lip Island Flap for Reconstruction of Small to Medium Lower Lip Defects. Facial Plast Surg Aesthet Med 2020; 22:200-206. [PMID: 32255366 PMCID: PMC7312741 DOI: 10.1089/fpsam.2020.0068] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Importance: Reconstruction of small to medium lower lip defects commonly includes mucosal advancement and wedge excision with primary closure, resulting in aesthetic complications such as lip flattening, shortening, and loss of the vermilion roll. The myomucosal lip island flap offers an alternative that preserves lower lip appearance and function. Objective: To describe the lateral myomucosal lip island flap and its indications for the reconstruction of small to medium lower lip defects. Design, Setting, and Participants: A retrospective chart analysis of patients from 2014 to 2019 was done. Participants include all consecutive patients of the senior author who had the myomucosal lip island flap employed in the lower lip from 2014 when the senior author began employing this technique, including 20 patients. Patient demographics, surgical indications, surgical defect bridging distances, flap advancing distances, functional complications, and aesthetic outcomes were reported. IRB approval was obtained from St. Joseph Health Center for Clinical Research and surgeries were performed at a private tertiary referral center—Skin Cancer and Reconstructive Surgery Center—by the senior author in a multispecialty practice. Main Outcomes and Measures: Location and flaps utilized to reconstruct the defect were reported. Lateral advancing distance and overall bridging distance were measured. Functional complications, if any, were reported. Appearance rating after the first stage was assessed. Results: This case series included 20 patients with lower lip defects reconstructed with myomucosal lip island flaps. The average bridging distance (width of defect) was 1.7 cm (minimum 1.0 cm, maximum 2.8 cm). Of 18 patients with available postoperative photographs, 4 cases (22%) had mild vermilion inferior retraction, 1 case (6%) had mild contour irregularity, and 1 case (6%) had visible white scar in the red lip. Conclusions and Relevance: The myomucosal lip island flap is a reliable technique for reconstruction of small to medium lower lip defects, preserving lip fullness and the vermilion roll.
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Affiliation(s)
- Simon Madorsky
- Skin Cancer and Reconstructive Surgery Center (SCARS Center), Newport Beach, California, USA
| | - Orr Meltzer
- Skin Cancer and Reconstructive Surgery Center (SCARS Center), Newport Beach, California, USA
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Farah CS, Pollaers K, Frydrych A. Management of Premalignant Disease of the Oral Mucosa. HEAD AND NECK CANCER CLINICS 2019. [DOI: 10.1007/978-981-13-2931-9_11] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Levi A, Hodak E, Enk CD, Snast I, Slodownik D, Lapidoth M. Daylight photodynamic therapy for the treatment of actinic cheilitis. PHOTODERMATOLOGY PHOTOIMMUNOLOGY & PHOTOMEDICINE 2018; 35:11-16. [PMID: 30066408 DOI: 10.1111/phpp.12415] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Revised: 07/07/2018] [Accepted: 07/16/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Actinic cheilitis (AC) is a common, chronic premalignant condition resulting from protracted sun exposure affecting the vermilion border of the lower lip. Treatment of AC aims at terminating the progression to squamous cell carcinoma by obliterating the primary lesion, and includes ablative methods; nonablative modalities such as cryotherapy, electrodessication, chemical peeling, topical imiquimod and 5-fluorouracil; and photodynamic therapy (PDT). Daylight-activated PDT, in which natural daylight serves as the light source, showed promising results in the treatment of actinic keratoses with substantially less pain than conventional PDT. PURPOSE To determine the safety and efficacy of daylight PDT in a series of patients with AC. METHODS Eleven patients with AC were treated with daylight PDT. All patients underwent repeated treatment sessions until clinical and histological remission were achieved. RESULTS Cure rate was 91% (10 of 11 patients, three females/eight males; mean age 59.2 ± 14.4 years). Mean number of treatments to attain cure was 2.7. Patients experienced mild erythema and minimal to no pain during treatment. CONCLUSIONS Daylight PDT is a promising modality for the treatment of AC, with impressive cosmetic results and few side effects.
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Affiliation(s)
- Assi Levi
- Photodermatosis Clinic and Laser Unit, Department of Dermatology, Rabin Medical Center, Petah Tikva, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Emmilia Hodak
- Photodermatosis Clinic and Laser Unit, Department of Dermatology, Rabin Medical Center, Petah Tikva, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Claes D Enk
- Department of Dermatology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
| | - Igor Snast
- Photodermatosis Clinic and Laser Unit, Department of Dermatology, Rabin Medical Center, Petah Tikva, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Dan Slodownik
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.,Sackler Faculty of Medicine, School of Public Health, Department of Environmental and Occupational Health, Tel Aviv University, Tel Aviv, Israel
| | - Moshe Lapidoth
- Photodermatosis Clinic and Laser Unit, Department of Dermatology, Rabin Medical Center, Petah Tikva, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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9
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Sanniec KJ, Carboy JA, Thornton JF. Simplifying Lip Reconstruction: An Algorithmic Approach. Semin Plast Surg 2018; 32:69-74. [PMID: 29765270 DOI: 10.1055/s-0038-1645882] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
The authors provide an overview of lip reconstruction after Mohs surgery based on the senior author's practice. Lip reconstruction offers unique challenges to preserve not only lip function but also aesthetics. Lip reconstruction must take into consideration the three anatomical layers that comprise the lip and defects that involve the mucosa, the muscle, the skin or more than one layer will help determine the modality of repair. The authors offer an algorithm based on defect location, tissue involvement, and severity of defect to simplify an often complex decision-making process.
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Affiliation(s)
- Kyle J Sanniec
- Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Jourdan A Carboy
- Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
| | - James F Thornton
- Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
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Dewey EH, Roche AM, Lazarus CL, Urken ML. Total lower lip and chin reconstruction with radial forearm free flap: A novel approach. Am J Otolaryngol 2017; 38:618-625. [PMID: 28734457 DOI: 10.1016/j.amjoto.2017.07.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 07/04/2017] [Indexed: 11/18/2022]
Abstract
BACKGROUND The management of large chin and lower lip defects is challenging due to this facial subunit's tremendous functional and aesthetic importance. Specific methods for total lower lip and mentum reconstruction are not well chronicled. Aesthetic and functional goals of this reconstruction include restoration of oral competence by maintaining lower lip height, vermilion reestablishment, color-matched skin introduction to the chin, sensation restoration, and ideally restoration of dynamic activity to the lower lip. METHODS Literature review performed. RESULTS Presentation of novel, two-stage technique for lower lip and chin reconstruction with a submental flap and a radial forearm free flap, suspension of the lower lip and chin with a tensor fascia lata graft, and vermilion reconstruction with a buccal mucosal flap. CONCLUSIONS This procedure meets all goals of total lower lip reconstruction with the exception of the introduction of dynamic tissue and represents a novel solution to a challenging reconstructive problem.
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Affiliation(s)
- Eliza H Dewey
- Thyroid, Head and Neck Cancer (THANC) Foundation, 10 Union Square East, Suite 5B, New York, NY, USA 10003.
| | - Ansley M Roche
- Otolaryngology Fellow, Department of Otolaryngology Head and Neck Surgery, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA
| | - Cathy L Lazarus
- Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, 10 Union Square East, Suite 5B, New York, NY 10003, USA
| | - Mark L Urken
- Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA
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11
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Malamos D, Scully C. Sore or Swollen Lips Part 3: Diagnosis and Treatment. DENTAL UPDATE 2017; 44:70-74. [PMID: 29172315 DOI: 10.12968/denu.2017.44.1.70] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This series of three papers reviews the causes, diagnosis and differential diagnosis, and outlines the management of sore and/or swollen lips. Clinical relevance: Sore and/or swollen lips are not uncommon, often have a local cause but may reflect a systemic disease. The previous 2 papers in the series discussed their causes. This paper reviews their diagnosis and treatment.
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12
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Huilgol SC, Ma JH, Hills RJ. Double island pedicle or V-Y flap repair for partial-thickness combined defects of the cutaneous and mucosal lip. J Am Acad Dermatol 2014; 71:1198-203. [DOI: 10.1016/j.jaad.2014.07.027] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2014] [Revised: 06/22/2014] [Accepted: 07/21/2014] [Indexed: 10/24/2022]
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13
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Hussain W. Direct primary closure without undermining in the repair of vermilionectomy defects of the lower lip. Br J Dermatol 2012; 167:968. [PMID: 23106353 DOI: 10.1111/j.1365-2133.2012.11187.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Walayat Hussain
- Department of Mohs Micrographic Surgery, Leeds Centre for Dermatology, Chapel Allerton Hospital, Leeds LS7 4SA, U.K.
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