Selection of surgical methods for upper vermilion defect repair
SUN Heng-yun
ZHAO Yan-yong
JIANG Hai-yue
HE Le-ren
ZHANG Pei-chao
Abstract：Objective To explore the application of musculi orbicularis oris/buccal mucosa flap in one-stage repair of upper vermilion defect.Methods According to the region and area of the vermilion defect,a musculi obicularis oris/buccal mucosa flap pedicled at the oral commissure was designed in the lower vermilion/cheek.The flap was placed deep to the superficial layer of the muscle,and then through local flap rotated to repair the upper vermilion defect.The donor site was directly sutured.The normal function and appearance of the upper lip was reconstructed.Results Sixteen cases were followed-up for 6 to 24 months.The appearance of the upper vermilion was plump and the symmetry was good.No angular destruction,opening or closing dysfunction,or severe donor site scar occurred.Conclusion The musculi obicularis oris/buccal mucosa flap offers a number of advantages,including adequate blood supply,easy manipulation,short treatment period and good patient tolerance.The appropriate surgical method should be chosen according to the specific condition.
Keywords：Vermilion defectBuccal mucosa flapMusculi obicularis oris flapOne-stage repair
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 291-294 )