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Lips/Chin

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Local Flaps in Facial Reconstruction

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Abstract

Lips/Chin

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Author information

Authors and Affiliations

  1. Poole Hospital NHS Foundation Trust, Poole, Dorset, UK

    Velupillai Ilankovan

  2. Department of Oral and Maxillofacial Surgery, University Hospital Southampton NHS Trust Southampton General Hospital, Southampton, UK

    Madan Ethunandan

  3. Orange Aesthetics and Oral Maxillofacial Surgery, Singapore, Singapore

    Tian Ee Seah

Authors
  1. Velupillai Ilankovan
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  2. Madan Ethunandan
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  3. Tian Ee Seah
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Suggested Algorithm

Suggested Algorithm

Lower Lip

Skin Only

Small
  1. 1.

    Primary closure (along rhytids)

  2. 2.

    M/W closure

Medium
  1. 1.

    A-T Flap

  2. 2.

    Inferiorly based nasolabial flap

  3. 3.

    Superiorly based nasolabial flap

Mucosa Only

Small
  1. 1.

    Primary closure

Medium/Large
  1. 1.

    Mucosal advancement flap

Full-Thickness Defect

Small
  1. 1.

    Primary closure

  2. 2.

    W excision

Medium
  1. 1.

    Bilateral advancement flap

  2. 2.

    Karapandzic flap

  3. 3.

    Abbe flap

  4. 4.

    Abbe-Estlander flap

Large Defects

  1. 1.

    Karapandzic flap

  2. 2.

    Bilateral advancement flap

  3. 3.

    Karapandzic flap + Abbe flap

  4. 4.

    Fan flap

Upper Lip

Skin Only

Small
  1. 1.

    Primary closure

  2. 2.

    A-T flap

  3. 3.

    Unilateral/Bilateral advancement flap

Medium
  1. 1.

    Laterally based rotation/transposition flap

  2. 2.

    Unilateral/bilateral perialar crescentic advancement flap

  3. 3.

    Island advancement flap

  4. 4.

    Inferiorly based nasolabial flap

Full Thickness

Small
  1. 1.

    Primary closure

Medium
  1. 1.

    Perialar crescentic advancement flap

  2. 2.

    Karapandzic flap

  3. 3.

    Abbe flap

  4. 4.

    Abbe-Estlander flap

Large
  1. 1.

    Bilateral nasolabial flap + Abbe flap

Chin Defects

Small

  1. 1.

    Primary closure

Medium

  1. 1.

    V-T flap

  2. 2.

    Rotation flap

  3. 3.

    Bilobed flap

  4. 4.

    Rhombic flap

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© 2015 Springer International Publishing Switzerland

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Cite this chapter

Ilankovan, V., Ethunandan, M., Seah, T.E. (2015). Lips/Chin. In: Local Flaps in Facial Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-08479-4_11

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  • DOI: https://doi.org/10.1007/978-3-319-08479-4_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08478-7

  • Online ISBN: 978-3-319-08479-4

  • eBook Packages: MedicineMedicine (R0)

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