Double island pedicle or V-Y flap repair for partial-thickness combined defects of the cutaneous and mucosal lip

Background Removal of skin cancer at or near the vermilion border may result in a partial-thickness combined cutaneous and mucosal lip defect for which repair has potential for poor cosmetic and functional outcomes. Objective We sought to describe the closure and results from repair of combined lip...

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Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2014-12, Vol.71 (6), p.1198-1203
Main Authors: Huilgol, Shyamala C., MBBS (Hons), FACD, Ma, Joyce H.Y., MBBS, Hills, Russell J., MBBS, FACD
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Dermatology
Facial Neoplasms - surgery
Female
Humans
island pedicle flap
lip
Lip - surgery
Male
Middle Aged
Mohs micrographic surgery
Mohs Surgery - methods
Mouth Mucosa - surgery
Retrospective Studies
skin cancer
Skin Neoplasms - surgery
Surgery, Plastic - methods
Surgical Flaps
Treatment Outcome
V-Y flap
vermilion
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Summary:Background Removal of skin cancer at or near the vermilion border may result in a partial-thickness combined cutaneous and mucosal lip defect for which repair has potential for poor cosmetic and functional outcomes. Objective We sought to describe the closure and results from repair of combined lip defects using 2 island pedicle or V-Y flaps, 1 for the cutaneous lip and 1 for the mucosa. Methods A retrospective review of all patients with combined defects of the lip who underwent double island pedicle or V-Y flap repair from June 2008 to December 2013 was performed. Results Ten patients (6 female, 4 male; ages 35-89 years, mean age 60 years) had defects on the upper lip in 8 cases and on the lower lip in 2 cases. Follow-up was for 3 months or longer with good or excellent outcomes in all cases. Limitations This was a nonrandomized, unblinded clinical case series with a limited sample size. Conclusion Double island pedicle or V-Y flap repair is an elegant closure with good to excellent results and may avoid potential problems inherent in other repair options.
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2014.07.027