WORLD JOURNAL OF PLASTIC SURGERY
مجله جهانی جراحی پلاستیک
WJPS
Medical Sciences
http://wjps.ir
1
admin
2228-7914
2252-0724
8
10.61186/wjps
14
8888
13
en
jalali
1394
10
1
gregorian
2016
1
1
5
1
online
1
fulltext
en
Lip Reconstruction after Tumor Ablation
تخصصي
Special
مروری
Review Article
<p>Approximately 25% of all oral cavity carcinomas involve the lips, and the primary management of these lesions is complete surgical resection. Loss of tissue in the lips after resection is treated with a variety of techniques, depending on the extension and location of the defect.</p>
<p>Here we review highly accepted techniques of lip reconstruction and some of new trials with significant clinical results. Reconstruction choice is primarily depend to size of the defect, localization of defect, elasticity of tissues. But patient’s age, comorbidities, and motivation are also important. According to the defect location and size, different reconstruction methods can be used. For defects involved less than 30% of lips, primary closures are sufficient. In defects with 35–70% lip involvement, the Karapandzic, Abbe, Estlander, McGregor or Gillies’ fan flaps or their modifications can be used. When lip remaining tissues are insufficient, cheek tissue can be used in Webster and Bernard advancement flaps and their various modifications. Deltopectoral or radial forearm free flaps can be options for large defects of the lip extending to the Jaws. To achieve best functional and esthetic results, surgeons should be able to choose most appropriate reconstruction method. Considering defects' size and location, patients' expects and surgeon's ability and knowledge, a variety of flaps are presented in order to reconstruct defects resulted from tumor ablation. It's necessary for surgeons to trace the recent innovations in lip reconstruction to offer best choices to patients.</p>
Lip, Reconstruction, Tumor, Ablation
15
25
http://wjps.ir/browse.php?a_code=A-10-93-1&slc_lang=en&sid=1
Ali
Ebrahimi
10031947532846001626
10031947532846001626
No
Associate Professor of Plastic Surgery Ward and Trauma Research Center, Baqiyatallah University of Medical Sciences ,Tehran, Iran
Mohammad Hossein
Kalantar Motamedi
10031947532846001627
10031947532846001627
Yes
Professor of Oral & Maxillofacial Surgery, Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Azin
Ebrahimi
10031947532846001628
10031947532846001628
No
Medical student,Tehran University of Medical Sciences, Tehran, Iran
Mohammad
Kazemi
10031947532846001629
10031947532846001629
No
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Amin
Shams
10031947532846001630
10031947532846001630
No
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Haleh
Hashemzadeh
10031947532846001631
10031947532846001631
No
Dental Research Center, Tehran University of Medical Sciences, Tehran, Iran