| Abstract | Many techniques can be used in primary reconstruction of total lower lip defects and most of them are functional. If a total lower lip defect is reconstructed with a static, dysfunctional technique, then the patient is prone to some problems such as drooling and gingival show. In order to restore sphincteric function in a previously reconstructed lower lip, we used the free muscle graft technique, which has been firstly used by Thompson for the treatment of facial paralysis. We obtained a satisfactory result, such that symptoms of drooling and gingival show have disappeared, and a minimal purse-stringing movement has been restored. To our knowledge, this is the first time of a free muscle graft application in this type of an indication. According to our result, the use of free muscle graft technique can be a good alternative method in patients, who suffer from drooling and gingival show following dysfunctional total lower lip reconstruction. |
| Authors | Serhat Ozbek, Selcuk Aytac, Nejdet Karli
(Affiliation: Department of Plastic Surgery, Uludag University, Faculty of Medicine, Bursa, Turkey.)
|
| Journal | The Journal of craniofacial surgery
(J Craniofac Surg)
Vol. 18
Issue 1
Pg. 203-7; discussion 93
(Jan 2007)
ISSN: 1049-2275 United States |
| PMID | 17251863
(Publication Type: Case Reports, Journal Article)
|
| Topics |
- Adult
- Electromyography
(methods)
- Humans
- Lip
(surgery)
- Lip Neoplasms
(surgery)
- Male
- Muscles
(innervation, transplantation)
- Reconstructive Surgical Procedures
(methods)
- Sialorrhea
(therapy)
- Tissue Transplantation
(methods)
|
