TY - JOUR
T1 - Reconstruction of the complete loss of upper and lower lips with a chimeric anterolateral thigh flap: A case report
AU - Lai, Chien-Liang
AU - Ou, Kuang-Wen
AU - Chiu, Wen-Kuan
AU - Chen, Shyi-Gen
AU - Chen, Tim-Mo
AU - Li, Hsiao-Ping
AU - Chang, Shun-Cheng
N1 - 被引用次數：8
Export Date: 21 March 2016
CODEN: MSRGD
通訊地址: Chang, S.-C.; Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan; 電子郵件： [email protected]
參考文獻: Kang, C.-J., Chang, J.T.-C., Chen, T.-M., Chen, I.-H., Liao, C.-T., Surgical Treatment of Oral Verrucous Carcinoma (2003) Chang Gung Medical Journal, 26 (11), pp. 807-812; Kuo, Y.R., Jeng, S.F., Wei, F.C., Su, C.Y., Chien, C.Y., Functional reconstruction of complex lip and cheek defect with free composite anterolateral thigh flap and vascularized fascia (2008) Head Neck, 30, pp. 1001-1006; Karonidis, A., Yao, S.F., Chimeric anterolateral thigh free flap for head and neck reconstruction (2009) Plast Reconstr Aesthet Surg, 62, pp. e85-e86; Nthumba, P., Carter, L., Visor flap for total upper and lower lip reconstruction: A case report (2009) J Med Case Reports, 3, p. 7312; Keskin, M., Sutcu, M., Tosun, Z., Savaci, N., Reconstruction of total lower lip defects using radial forearm free flap with subsequent tongue flap (2010) J Craniofac Surg, 21, pp. 349-351; Jeng, S.F., Kuo, Y.R., Wei, F.C., Su, C.Y., Chien, C.Y., Reconstruction of concomitant lip and cheek through-and-through defects with combined free flap and an advancement flap from the remaining lip (2004) Plast Reconstr Surg, 113, pp. 491-498; Daya, M., Simultaneous total upper and lower lip reconstruction with a free radial forearm-palmaris longus tendon and brachioradialis chimeric flap (2010) J Plast Reconstr Aesthet Surg, 63, pp. e75-e76; 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 (2009) J Plast Reconstr Aesthet Surg, 62, pp. e337-e340; Daya, M., Nair, V., Free radial forearm flap lip reconstruction: A clinical series and case reports of technical refinements (2009) Ann Plast Surg, 62, pp. 361-367; Wolford, L.M., Morales-Ryan, C.A., Morales, P.G., Cassano, D.S., Autologous fat grafts placed around temporomandibular joint total joint prostheses to prevent heterotopic bone formation (2008) Proc (Bayl Univ Med Cent), 21, pp. 248-254; Furuta, S., Hataya, Y., Watanabe, T., Yuzuriha, S., Vermilionplasty using medical tattooing after radial forearm flap reconstruction of the lower lip (1994) British Journal of Plastic Surgery, 47 (6), pp. 422-424; Yildirim, S., Gideroglu, K., Aydogdu, E., Avci, G., Akan, M., Akoz, T., Composite anterolateral thigh-fascia lata flap: A good alternative to radial forearm-palmaris longus flap for total lower lip reconstruction (2006) Plastic and Reconstructive Surgery, 117 (6), pp. 2033-2041. , DOI 10.1097/01.prs.0000210663.59939.02, PII 0000653420060500000050; Sarukawa, S., Kashiwaya, G., Sakuraba, M., A new flap design for reconstruction of full-thickness defects of the lower lip: The extended upper lip island (EULI) flap (2006) Journal of Plastic, Reconstructive and Aesthetic Surgery, 59 (12), pp. 1436-1441. , DOI 10.1016/j.bjps.2005.12.043, PII S1748681506002671; Suda, T., Yotsuyanagi, T., Ezoe, K., Saito, T., Ikeda, K., Yamauchi, M., Arai, K., Reconstruction of a red lip that has a defect in one half, using the remaining red lip (2009) J Plast Reconstr Aesthet Surg, 62, pp. e570-e573. , Epub 2009 Jan 1; Yano, K., Hosokawa, K., Kubo, T., Combined tongue flap and V-Y advancement flap for lower lip defects (2005) British Journal of Plastic Surgery, 58 (2), pp. 258-262. , DOI 10.1016/j.bjps.2004.10.021, PII S0007122604003169; Wei, F.-C., Jain, V., Celik, N., Chen, H.-C., Chuang, D.C.-C., Lin, C.-H., Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps (2002) Plastic and Reconstructive Surgery, 109 (7), pp. 2219-2226
PY - 2012
Y1 - 2012
N2 - It is difficult to totally reconstruct the lips and achieve good functional and aesthetic results, such as oral sphincter function, sensation, appearance, color, and movement. There have been few reports of reconstructing complete lip defects. We present a case of completely reconstructing the lip defects of a 55-year-old patient who had verrucous carcinoma of the buccal mucosa and lips. Extensive ablation was performed by wide bilateral excision of the buccal mucosa and marginal resection of the anterior mandible and both lips. The tongue, partial tongue base mucosa, and retromolar trigone were preserved. To reconstruct and resurface the intraoral and lip defects nearly totally, we applied a free anterolateral thigh (ALT) flap in chimeric style with two independent sets of perforators and skin islands. To achieve better oral function and cosmetics, revisions of the ALT flap, full-thickness scrotal skin grafting, autologous fat grafting, and skin tattooing were done in stages. Postoperative oral sphincter function was obtained without drooling; the general appearance of the lips was also acceptable. © 2011 Wiley Periodicals, Inc.
AB - It is difficult to totally reconstruct the lips and achieve good functional and aesthetic results, such as oral sphincter function, sensation, appearance, color, and movement. There have been few reports of reconstructing complete lip defects. We present a case of completely reconstructing the lip defects of a 55-year-old patient who had verrucous carcinoma of the buccal mucosa and lips. Extensive ablation was performed by wide bilateral excision of the buccal mucosa and marginal resection of the anterior mandible and both lips. The tongue, partial tongue base mucosa, and retromolar trigone were preserved. To reconstruct and resurface the intraoral and lip defects nearly totally, we applied a free anterolateral thigh (ALT) flap in chimeric style with two independent sets of perforators and skin islands. To achieve better oral function and cosmetics, revisions of the ALT flap, full-thickness scrotal skin grafting, autologous fat grafting, and skin tattooing were done in stages. Postoperative oral sphincter function was obtained without drooling; the general appearance of the lips was also acceptable. © 2011 Wiley Periodicals, Inc.
KW - adult
KW - anterolateral thigh flap
KW - article
KW - biopsy
KW - cancer staging
KW - case report
KW - cheek mucosa
KW - chimeric flap
KW - follow up
KW - full thickness skin graft
KW - human
KW - human tissue
KW - hypersalivation
KW - leukoplakia
KW - lip reconstruction
KW - lower lip
KW - lymph node dissection
KW - male
KW - mandible
KW - priority journal
KW - skin island flap
KW - surgical technique
KW - tongue
KW - tooth extraction
KW - tumor ablation
KW - upper lip
KW - verrucous carcinoma
KW - Carcinoma, Squamous Cell
KW - Cheek
KW - Free Tissue Flaps
KW - Head and Neck Neoplasms
KW - Humans
KW - Lip
KW - Lip Neoplasms
KW - Male
KW - Middle Aged
KW - Mouth Mucosa
KW - Oral Surgical Procedures
KW - Reconstructive Surgical Procedures
UR - https://www.scopus.com/record/display.uri?eid=2-s2.0-84856041465&origin=inward&txGid=f9caa1e984cc31beda6399353addc6f9&featureToggles=FEATURE_NEW_DOC_DETAILS_EXPORT:1,FEATURE_EXPORT_REDESIGN:1
U2 - 10.1002/micr.20943
DO - 10.1002/micr.20943
M3 - Article
SN - 0738-1085
VL - 32
SP - 60
EP - 63
JO - Microsurgery
JF - Microsurgery
IS - 1
ER -
