Repair of the philtrum: an illustrative case series.

Abstract

BACKGROUND:

Distortion of the philtrum, which lends considerable symmetry to the midface, leads to a poor esthetic outcome.

OBJECTIVE:

This case series describes reconstructive approaches to six philtral defects after Mohs micrographic surgery. Reconstructive approaches including advancement flaps, full-thickness skin grafts, and second-intention healing are illustrated. Postoperative complications included graft hypertrophy, irregularity of the graft surface, graft color mismatch, tenderness, and slight eclabium, which improved with dermabrasion or intralesional triamcinolone.

CONCLUSION:

The reasonable success of full-thickness skin grafts demonstrated here provides an additional approach to philtral repairs, especially when combined with traditional advancement flaps.

• Authors: Tamara Salam Housman, Daniel Berg, Sam P Most, Peter B Odland, Earl Stoddard
• Journal: Journal of cutaneous medicine and surgery (J Cutan Med Surg) 2008 Nov-Dec Vol. 12 Issue 6 Pg. 288-94 ISSN: 1203-4754 [Print] United States
• PMID: 19317951 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Inflammatory Agents
• Glucocorticoids
• Triamcinolone

Topics

• Adult
• Aged
• Aged, 80 and over
• Anti-Inflammatory Agents (administration & dosage, therapeutic use)
• Carcinoma, Basal Cell (surgery)
• Dermabrasion
• Female
• Follow-Up Studies
• Glucocorticoids (administration & dosage, therapeutic use)
• Humans
• Injections, Intralesional
• Lip (surgery)
• Lip Neoplasms (surgery)
• Male
• Middle Aged
• Mohs Surgery
• Postoperative Complications (drug therapy)
• Skin Neoplasms (surgery)
• Skin Transplantation
• Surgical Flaps
• Time Factors
• Treatment Outcome
• Triamcinolone (administration & dosage, therapeutic use)