Reconstruction of sphincteric function after dysfunctional total lower lip reconstruction using free muscle graft technique


Ozbek S., Aytac S., Karli N.

JOURNAL OF CRANIOFACIAL SURGERY, cilt.18, sa.1, ss.203-207, 2007 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 1
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1097/01.scs.0000246731.69224.a5
  • Dergi Adı: JOURNAL OF CRANIOFACIAL SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.203-207
  • Anahtar Kelimeler: lip reconstruction, free muscle graft, drooling, gingival show, ORIS MUSCULOCUTANEOUS FLAP, LONGUS FREE-FLAP, DEFECTS
  • Bursa Uludağ Üniversitesi Adresli: Evet

Özet

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.