The Individual Reconstruction Of Lip Defect Of Different Degrees

Lip is one of the most important organs on the face.The lip defect can affect the feature,eating,talking,expression and can make the outleakage of the spittle.The main cause of the lip defect have:resection of the tumor,trauma,adustum and infection which can lead to the different types and different degrees of lip defect.Reconstruction these defects is often done by direct suture,nasolabial groove flaps,cross-lip flaps,bernard flaps and even distant flaps.Choose the best reconstruction can raise therapeutic efficacy,lessen facial malformation after operation.We collected 108 cases of lip defect in our department from 2000 to 2009,and do some improvements for the traditional operations,and gain a satisfactory reconstruction result.Objective:To investigate the reconstruction technique for different degrees and different types of lip defect and summarize the advantages and disadvantages of each operation method in order to gain a individual reconstruction of lip defect.Method:One hundred and eight patients of lip defect underwent reconstruction were retrospectively reviewed,in the department of oral and maxillary surgery,1st affiliated hospital,medical school of Zhejiang University from January 2000 to January 2009. Clinical data was obtained from different ways,such as the reference of clinical records, telephone follow-up and recheck information,make contrast between preoperative and postoperative photographs and so on.Results:The complex tissue flap with blood vessel of lower lip based on the cross-over lip flap to repair the upper lip defect revolved one side corner of the mouth received a good appearance and function after operation.And we also designed double facial-arterial island pedicled nasolabial(DFAIN) flaps to reconstruct half upper lip defects,and got a better survival rate than normal nasolabial flap and achieved ideal aesthetic results.Besides that,we designed 4 new sliding flaps on modifying Bernard's technique to repair half upper lip defect,half part defect of lower lip,more than two-thirds of lower lip defect and lower lip defect revolved one side corner of the mouth.Functional and cosmetic results were good,and there were no intra- or postoperative complications.Conclusion:.We made a elaborative design before operations of lip defects of different degrees and styles.And we reformed the traditional operation menthod.Through contrasting the preoperative and postoperative photograph,we found that the individual reconstruction of lip defect resulting in a satisfying postoperative lip appearance and function.