• Facial vessels are left intact. Reconstruction of lower lip is a challenging task, as it requires taking into consideration the restoration of function as well as aesthetics. Abstract. Schematic of an Abbé flap from the lower lip to the upper. Complete lower lip reconstruction with in-folded extended pedicled deltopectoral flap: Case report and review of the literature Olayinka A Olawoye 1, Oluwabunmi M Fatungase 2 1 Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria 2 Department of Anaesthesia, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Sagamu, Nigeria In large defects, it might result in disproportion between the upper and lower lips and blunting of the commissures. The Karapandzic Flap in Lower Lip Reconstruction The Karapandzic Flap in Lower Lip Reconstruction Degala, Saikrishna; Shetty, Sujith; Monalisha, 2014-07-11 00:00:00 J. Maxillofac. Fugimori’s Gate flapsFugimori’s Gate flaps • Used for total lower lip reconstruction. Reconstruction was performed upon this extensive lesion using a combination of two well-established and effective flaps for reconstructing the lower lip: the Karapandzic and Bernard--Burrow--Webster flap. However, use of Karapandzic flaps is usually restricted to reconstructing defects comprising two-thirds of the lip or less to avoid microstomia [10]. These goals are a challenge when reparing large lower lip defects. Lip Reconstruction using Karapandzic Flap 1KN Abhinandan Patel, 2Satyajit Dandgi, 3Ranjit Singh ABSTRACT The peroral region which consists of the upper and lower lip plays a vital role functionally, esthetically as well as anatomically. It is because of the difficulty in regaining the function of the lip, including the oral competency and restoring the aesthetic subunit. Cite . The Karapandzic Flap in Lower Lip Reconstruction. Lower lip reconstruction should restore oral competence, speech, and cosmesis. Year: 2014. J Craniofac Surg. RESULTS: Reconstruction of the lower lip and chin was performed in 21 patients using a combination of double local extended Karapandzic flaps with microvascular free flaps for intraoral and mandibular reconstruction. In large defects, it might result in disproportion between the upper and lower lips and blunting of the commissures. Subtotal reconstruction of the lower lip after excision of the tumor is always a challenge for surgeons. Utilidade do retalho de Karapandzic na reconstrução de grandes defeitos do lábio inferior. Lower lip reconstruction using the Karapandzic technique Reconstrução do lábio inferior pela técnica de Karapandzic This study was performed at the Department of Plastic Surgery, Universidade Santa Cecília (UNISANTA), Santos, SP, Brazil. 1974 Jan. 27(1):93-7. . Br J Plast Surg. Karapandzic M. Reconstruction of lip defects by local arterial flaps. Repair of Lip Defects With Karapandzic Flaps Simon G. Talbot Julian J. Pribaz DEFINITION Defects of the lips may occur from malignancy (most frequently squamous cell carcinoma followed by basal cell carcinoma), trauma, vascular malformations, or infections. Total lip defects and defects larger than 80% of lip length would be candidates for reconstruction via larger composite flaps, cheek flaps, or possible free-tissue transfer flaps. Reconstruction with Karapandzic flaps has the advantage of being a single-stage technique that replaces the missing lower lip with like tissue, maintains an intact oral sphincter, and preserves sensation and blood supply to the lips. Proposed incisions outlined. Corpus ID: 1009809. Human bite injuries are both deceptive and challenging in their presentation and management. 1. 2007 Jan. 18(1):151-4. . Karapandzic flap is a reliable technique with consistent functional and esthetic outcome. Musculature of the pars marginalis of the upper orbicularis oris muscle. Small defects of the upper and lower lip can be closed primarily. Gonzalez A, Etchichury D. Reconstruction of Large Defects of the Lower Lip After Mohs Surgery: The Use of Combined Karapandzic and Abbe Flaps … The Karapandzic Flap in Lower Lip Reconstruction . Results: Our patients were between 44 and 88 years old (mean 66.6). Modified extended Karapandzic flap for large lower lip reconstruction. These goals are a challenge when reparing large lower lip defects. 08.04.2020 | Case Report Reconstruction of Lower Lip Defect with Unilateral Karapandzic Flap • Mucosal flaps provide vermilion coverage. The usefulness of Karapandzic flap in the reconstruction of large defects of the lower lip. Saikrishna Degala 1, Sujith Kumar Shetty 1 & Monalisha 1 Journal of Maxillofacial and Oral Surgery volume 14, pages 421 – 425 (2015)Cite this article. Lip reconstruction or cheiloplasty can use several techniques. • Revisional surgeries are often required • More chances of upper lip denervation. Oral Surg. @article{Brinca2011KarapandzicFA, title={Karapandzic flap and Bernard-Burrow-Webster flap for reconstruction of the lower lip. Metrics details. Gillies and Millard 7 described a fan flap for reconstruction of the lower lip. In the case described earlier, the patient demonstrated a defect of approximately 80% of lower lip and opted for surgical correction via Karapandzic flap. Based on the upper labial artery, it was prepared by rotation and nasolabial advancement toward the midline. A 46-year-old patient presented with an ulceroproliferative growth involving 70% of the lower lip, including the right commissure. Central Lip Defects Reconstruction • : – Abbe flap :Large central upper lip defects – not ideal for Lower lip – Alternatives: • Bilateral karapandzic • Modified bernard • nasolabial flaps 28. Resection repects a margin of 1cm. In oncological resections, the main goal in lip reconstruction is achieving oral competence than speech and facial expressions. J Craniofac Surg. Buccal branches of facial nerve and labial artery branches preserved to greatest extent possible. Karapandzic flap and Bernard-Burrow-Webster flap for reconstruction of the lower lip. DOI identifier: 10.1007/s12663-014-0655-3. (B) Incisions made through skin. By Saikrishna Degala, Sujith Kumar Shetty and null Monalisha. Methods: From 2012 to 2016, five patients with T4 lower lip squamous cell carcinoma (SCC) underwent near-total and total lower lip resection and reconstruction with a combination of bilateral Karapandzic flap and double Abbé/Estlander/Stein flaps from the upper lip. 12 cases of post oncological excision defect of lower lip are reconstructed with karapandzic flap. INTRODUCTION: Lower lip reconstruction should restore oral competence, speech, and cosmesis. PURPOSE: Reconstruction of a lower lip defect with a Karapandzic flap often leads to greater rounding of the commissure. 1974 Jan. 27(1):93-7. . Hwang K, Kim DJ, Hwang SH. However, it may result in microstomy and does not aim to preserve the neurovascular bundle, resulting in a static reconstruction with loss of sensitivity 5. Br J Plast Surg. Karapandzic flap is a reliable technique with consistent functional and esthetic outcome. 181 Accesses. For the upper lip, defects of up to 1/4 (25%) of the lip may be closed primarily. 1 The Burow method represents the most common cheek advancement method for repair of complete lower lip defects. Primary closure. Gonzalez A, Etchichury D. Reconstruction of Large Defects of the Lower Lip After Mohs Surgery: The Use of Combined Karapandzic and Abbe Flaps … I-B). Accepted date: September 23, 2017 3 Citations. All of the flaps described below can be used on the upper or lower lip. Karapandzic flap is a modification of Gilles fan flap is used for the reconstruction of total and subtotal defectof lower lip. 2007 Jan. 18(1):151-4. . (C) Tissue advanced and defect closed. Bilateral Karapandzic flap: a work horse for carcinoma of lower lip Mada Lakshmi Narayana1*, Pramod D.2, ... eating. Microstomia irrespective of the flap and loss of sensation is a notable disadvantage. On the left side, we drew the Karapandzic flap, which extended between the inferior border of the excision margins and along the mentolabial and nasolabial crease (Fig. Paula Luz Stocco 1; Guilherme Fonseca 2; Lucas Emanuel de Lima Azevedo 1; Thais Bittencourt Gonçalves Teles 1; Carmélia Matos Santiago Reis 3. Karapandzic flap, (A) Lower lip defect after resection of carcinoma. Hwang K, Kim DJ, Hwang SH. The recognised flaps used in lower lip reconstruction are the Karapandzic, the Gilles fan, the Abbe, the Bernard-von Burrow cheek flap, and the free flap, and they all have their own benefits and drawbacks. Note that width of the Abbé flap … BibTex; Full citation; Publisher: Springer Nature. Karapandzic and Bernard Burrow Webster Flap Amalgamation in Reconstruction of Near-Total Defect of the Lower Lip February 2021 Journal of Medical Sciences and Health 6(3):85-88 Musculature of the pars marginalis of the upper orbicularis oris muscle. Karapandzic M. Reconstruction of lip defects by local arterial flaps. A 67 years old patient presents a spinocellular carcinoma of the lower lip measuring 4.5 cm × 4 cm. sumeryadav2004@gmail.comsumeryadav2004@gmail.com 82. In this study, a patient for whom successful reconstruction of lower lip defect was done using the Karapandzic flap was presented. Sun Yuhang, Jingzhen Song, Jianchao He, Jing An, Haojun Yuan and Shujing Qi * Affiliated Hospital of Hebei University of Engineering, PR China *Corresponding Author: Shujing Qi Affiliated Hospital of Hebei University of Engineering, PR China. Karapandzic flap provides good coverage of these losses of substances with good aesthetic and functional results. There was no flap necrosis; the main complications were fistula and exposure of the osteosynthesis plate. Eight weeks after operation, the patient demonstrated oral competency, was able to wear his full dentures, and was very happy with the results ( Fig 2 ). Superficial lower lip reconstruction ... and less focus on the appearance of the lip. The aim of this study was to provide a new design of bilateral Karapandzic flap for large lower lip defect reconstruction. Malignant lesions involving lip warrant a wide excision to ensure a disease-free margin, which usually results in large defects. Karapandzic and Bernard Burrow Webster Flap Amalgamation in Reconstruction of Near-Total Defect of the Lower Lip N Naveen 1 , T S Purushotham 1 , H R Pallavi 2 , Hanumantha Basappa Vaggara 2 1 Assistant Professor, Department of Plastic and Reconstructive Surgery, Adichunchanagiri Institute of Medical Sciences, Mandya, Karnataka, India, Lower lip reconstruction using the Karapandzic technique Reconstrução do lábio inferior pela técnica de Karapandzic
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