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One-stage reconstruction of a large defect of the lower lip and oral commissure  Makoto Yamauchi, Takatoshi Yotsuyanagi, Katsunori Yokoi, Satoshi Urushidate,

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Presentation on theme: "One-stage reconstruction of a large defect of the lower lip and oral commissure  Makoto Yamauchi, Takatoshi Yotsuyanagi, Katsunori Yokoi, Satoshi Urushidate,"— Presentation transcript:

1 One-stage reconstruction of a large defect of the lower lip and oral commissure 
Makoto Yamauchi, Takatoshi Yotsuyanagi, Katsunori Yokoi, Satoshi Urushidate, Ken Yamashita, Yuko Higuma  British Journal of Plastic Surgery  Volume 58, Issue 5, Pages (July 2005) DOI: /j.bjps Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

2 Figure 1 Case 1. Preoperative view of a 68-year-old male with a squamous cell carcinoma in the right lower lip. The patient had a discoid lupus erythematosus. The left lower lip was reconstructed by the Yotsuyanagi's depressor anguli oris musculocutaneous flap. Scar appears parallel to mentolabial fold. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

3 Figure 2 Same patient as in Fig. 1. (a) View after the excision. The defect was two-thirds of the lower lip and the right oral commissure. (b) The temporoparietal fascia turned over from temporal muscle easily reached a defect. (c) The temporoparietal fascia sutured to the residual muscle of the lower lip. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

4 Figure 3 Same patient as in Fig. 1. (a) Postoperative view of the rest position 3 months after the final operation. (b) View when opening mouth. The open mouth movement was good. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

5 Figure 4 Case 2. Preoperative view of a 59-year-old male with a squamous cell carcinoma of the left buccal mucosa. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

6 Figure 5 Same patient as in Fig. 4. (a) Postoperative view of the rest position 2 year after the final operation. (b) View when opening mouth. A sufficient size was maintained. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions


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