ABSTRACT
This article presents three methods that enable immediate and satisfactory repair of defects of the lower lip. In partial defects of the lower lip, an advancement flap technique developed from the Bernard method is used. Two methods are described for total resections. The first method is a combination of the advancement flap technique with a reverse Abbé-Estlander flap brought down from the upper lip and is done in two stages. The second method achieves reconstruction in one stage and consists of bringing two arterialized island flaps from the nasolabial region to reconstruct the lower lip. The new methods are superior to traditional methods of lower lip reconstruction in terms of esthetics and function.
Subject(s)
Lip/surgery , Surgical Flaps , Humans , MethodsABSTRACT
The use of a bilateral Z-plasty with superiorly based myomucosal flaps of the posterior pharyngeal wall in the treatment of nasopharyngeal incontinence in 16 patients with rhinolalia is reported. The transposition of these flaps leads to the formation of a dynamic and physiologic velopharyngeal sphincter that produces a marked improvement in speech. The same procedure yielded satisfactory results in 3 cases of pharyngitis sicca. We have maintained a postoperative follow-up of these patients from 6 months to 16 years and have been very pleased with the sustained good results.
Subject(s)
Pharyngitis/surgery , Pharynx/surgery , Speech Disorders/surgery , Surgical Flaps , Adolescent , Child , Cleft Palate/complications , Cleft Palate/surgery , Female , Follow-Up Studies , Humans , Infant , Male , Speech Disorders/etiologyABSTRACT
A new bilobed cutaneous and myocutaneous flap providing ipsilateral reconstruction possibilities in the head and neck is described. The flap incorporates the pectoralis major myocutaneous flap and the medially based deltopectoral flap in a single bilobed flap. Both flaps come from the same side to provide bulk and cutaneous coverage in a single flap.
