Reconstruction of the lower lip
From WikiLectures
- Primary closure
- we make sure that the scar crosses the border between the skin + lip redness in a perpendicular direction
- Full-thickness excision of the lip
- solves a defect < 2 cm
- from the point of view of restoring the contour, W-excision is more advantageous, possibly Z-plasty of lip redness
- Mucomuscular shift
- for defects affecting vermilion only
- Stair shift
- solves defects up to 2/3 of the lower lip
- the usual range of displacement is 2 to 4 "stairs" that replicate the chin
- Abbe's lobe
- we solve the defect of the lower lip by twisting the lobe from the upper lip, which we disconnect in the 2nd period
- Lobes according to Estlander, Gillies and Karapandzic
- move the tissue for reconstruction from the nasolabial fold
- Total reconstruction of the lower lip
- exceptional intervention
- the procedure according to Bernard and Webster can be used
