Pre-expanded bipedicled visor flap: an ideal option for the reconstruction of upper and lower lip defects postburn in Asian males

Author:

Min Peiru1,Li Jie1,Brunetti Beniamino2,Pu Zheming1,Su Weijie1,Xi Wenjing1,Zhang Zheng1ORCID,Salzillo Rosa2,Feng Shaoqing1,Zhang Yixin1

Affiliation:

1. Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China

2. Department of Plastic and Reconstructive Surgery, Campus Bio-Medico University of Rome, Rome, Italy

Abstract

AbstractBackgroundReconstruction of upper and lower lip subunits is a complicated and elusive challenge. For patients affected by defects involving upper and lower lip subunits, a technique able to reconstruct both aesthetic units with matched colour, sufficient contours and similar texture would be ideal. In this study, we present our experience with upper and lower lip reconstruction using the pre-expanded bipedicled visor flap.MethodsFrom January 2014 to January 2017, 12 male patients presenting with defects of the upper and lower lip subunits were treated using this surgical technique. After a period of expansion of the scalp flap of over 6 months, the bipedicled visor flap was raised from both the parietal regions and rotated to resurface the defect. Delay and section of the pedicle were then performed.ResultsTwelve male patients with postburn scars aged 22 to 48 years (mean: 34 years) were successfully treated with no major complications. The donor site was closed primarily in all cases. Subsequent flap debulking and minor revisions were performed under local anaesthesia between 6 and 12 months postoperatively.ConclusionsThe pre-expanded bipedicled visor flap provides an effective and reliable option for upper and lower lip reconstruction with excellent colour and texture. It is feasible to achieve these results simultaneously from a single donor site by using a pre-expanded bipedicled visor flap.

Funder

National Natural Science Foundation of China

Publisher

Oxford University Press (OUP)

Subject

Critical Care and Intensive Care Medicine,Dermatology,Biomedical Engineering,Emergency Medicine,Immunology and Allergy,Surgery

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1. Pedicled and Perforator Flaps from the Facial and the Superficial Temporal Vessels;Oral and Maxillofacial Surgery Clinics of North America;2024-08

2. Temporoparietal Flap for Facial Reconstruction: Donor Site Morbidity;WORLD JOURNAL OF PLASTIC SURGERY;2024-01-01

3. Total lower lip reconstruction: a review of recent advances;Current Opinion in Otolaryngology & Head & Neck Surgery;2023-10-12

4. Mid-face Massive Loss Reconstruction: Free Latissimus Dorsi Used as Both a Donor and Recipient for Two Subsequent Temporoparietal Flaps;Plastic and Reconstructive Surgery - Global Open;2023-08

5. Comparison of Visor Access Approach with Lower LIP Split Approach in Resection of Oral Cancers;Indian Journal of Otolaryngology and Head & Neck Surgery;2022-11-05

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