Facial and lip reconstruction with advancement flaps and wedge resection, Skin Cancer, Kevin Kavanagh
Facial and lip reconstruction with advancement flaps and wedge resection, Skin Cancer, Kevin Kavanagh
  
Lip reconstruction using lateral vermillion and soft tissue advancement flaps and
a central "V" resection, in a patient with squamous cell carcinoma of the lip.
 
This patient has 1/3 of the vermillion of her lip removed.  The defect could be divided into three parts:  A central 1/3 very deep defect and lateral 1/3 shallower defects.  The lateral 1/3 defects were reconstructed by advancing vermillion and underlining muscle from the lateral lip.  The middle third was removed with a "V" resection and three layer closure.
 

1.

2.

Initial Defect 

Immediate Post-Op Result

3.

4.

1 week post op result.

5 month post op result.

 

5.

 

16 month post op result.
Up Nose Reconstruction Advancement Flap Forehead Flap Forehead Flap Abbe Estlander Flap Abbe Estlander Flap Abbe Estlander Flap Rotation Advancement Rotation Advancement Rotation Advancement Rotation Advancement Rotation Advancement Rotation Advancement Rotation Advancement Rotation Advancement Rotation Advancement Rotation Advancement Rotation Advancement Rhomboid Flap Rhomboid Flap Rhomboid Flap Rhomboid Flap Rhomboid Flap Rhomboid Flap Nasal Labial Flap Nasal Labial Flap Nasal Labial Flap Nasal Labial Flap Nasal Labial Flap Nasal Labial Flap Nasal Labial Flap Ear Reconstruction Ear Reconstruction Ear Reconstruction Ear Reconstruction Lip Reconstruction Flap Necrosis Skin Graft

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