Year: 2025
Type: article
Study design: Case Report
Abstract: Background: Malignant tumor removal can cause extensive lower lip tissue loss, affecting speech, expression, and swallowing functions. Methods: We describe our experience with two cases using a modification of the nasolabial flap technique for total lower lip reconstruction. This approach employs two long strip-shaped flaps rotated to reconstruct the entire lower lip, which helps mitigate functional limitations caused by microstomia. Results: Two patients underwent successful reconstruction with normal lip function, no microstomia, and restored eating ability. Partial vermillion remained visible with good lip shape. No complications occurred during follow-up (12 months), with satisfactory oral competence and no drooling or speech impairment. Conclusion: This surgical method has a certain improvement in microstomia compared with the traditional surgery used for similar lower lip defects, while achieving satisfactory functional and aesthetic outcomes. The technique represents a preliminary technical note for total lower lip reconstruction with favorable outcomes in our limited series.
Source: Frontiers in Medicine
Authors: Wenli Qi, Xinyue Xiao, Jing Tong, Nengqiang Guo
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4414619263