Double Mental Neurovascular V-Y Island Advancement Flaps Combined With Tongue Flaps for Functionally Reconstructing Total Lower-Lip Defects

作者：Chen, Wei-liang^*; Wang, You-yuan; Zhou, Miao; Yang, Zhao-hui; Zhang, Da-ming

来源：Journal of Craniofacial Surgery, 2012, 23(1): 181-183.

DOI：10.1097/SCS.0b013e3182418ed5

• Lower-lip defects
• V-Y advancement flap
• tongue flap
• lip tumor
• reconstructive surgery

Although several techniques have been described for lower-lip reconstruction, functional reconstruction of total lower-lip defects remains a challenge. This study investigated a functional reconstruction technique for total lower-lip defects. Nine lower-lip defects were reconstructed after cancer ablation using double mental V-Y island advancement flaps, based on mental neurovascular bundle combined with tongue flaps. All flaps survived completely. The patients were followed up for 6 to 20 months. The lip function and sensation were normal, and aesthetic appearance was satisfactory. No patient developed local recurrence or lymphatic metastasis. The technique of combining a double mental neurovascular V-Y island advancement flap with a lingual mucosal membrane flap is ideal for the functional repair of total lower-lip defects after cancer ablation.

• 出版日期2012-1
• 单位中山大学