Reconstruction of sphincteric function after dysfunctional total lower lip reconstruction using free muscle graft technique
JOURNAL OF CRANIOFACIAL SURGERY, cilt.18, sa.1, ss.203-207, 2007 (SCI-Expanded, Scopus)
- 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.