Vermilion Myomucosal Axial Flap for Reconstruction of Upper Vermilion Defect

J Korean Wound Management Soc > Volume 4(1); 2008 > Article

Original

Journal of the Korean Wound Management Society 2008;4(1): 32-34.

상구순홍순 결손 재건을 위한 홍순 근육점막 축성 피판술^*

윤병민ㆍ이동찬ㆍ민경희ㆍ김석화

서울대학교 의과대학 성형외과학교실

Vermilion Myomucosal Axial Flap for Reconstruction of Upper Vermilion Defect

Byung Min Yun, Dong Chan Lee, Kyung Hee Min, Suk Wha Kim

Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul, Korea

Published online: 31 May 2008.

ABSTRACT

Goldstein's vermilion myomucosal axial flap was chosen according to Magden's study of the arterial anatomy of the upper lip amongst various treatments for vermilion defect. It brought not only dramatically shortened operation time but also the deprivation of Doppler tracing to superior labial artery during operations. A 14-year-old male patient presented with right-sided vermilion partial defect (loss of mucosa and orbicularis oris muscle) by Tosa-dog bite. Flapping was considered for reconstruction. A flap should be advancement type using the vermilion's elastic nature, myomucosal type for voluminal reconstruction and axial type for a long distance movement as far as 3 cm simultaneously. A vermilion myomucosal axial flap with a length of about 40 mm and a width of about 10 mm from the inferior border was elevated. Then the distal part of the flap was sutured with the muscle at the right-side oral commissure and the vermilion defect was sutured with the donner part of the flap. Total operation time was 30 minutes. The operation results were good esthetically as well as functionally. The reconstructed lip looked very natural at relaxation and puckered symmetrically. (J Korean Wound Management Soc 2008;4:32-34)

Key Words: Vermilion defect, Vermilion myomucosal axial flap