The Reconstruction of Two Large Full‐Thickness Wounds of the Upper Lip with Different Operative Techniques: When Possible, a Local Flap Repair Is Preferable to Reconstruction with Free Tissue Transfer. Issue 2 (15th November 2012)

• Record Type: Journal Article
• Authors: Cook, Jonathan L.
• Is Part Of: Dermatologic surgery. Volume 39:Issue 2(2013)
• Page Start: 281
• Page End: 289
• Publication Date: 2012-11-15
• Subjects: Skin -- Surgery -- Periodicals; Skin -- Diseases -- Surgery -- Periodicals; 617.477
• DOI: 10.1111/dsu.12033
• Languages: English
• ISSNs: 1076-0512

Abstract

<abstract abstract-type="main" id="dsu12033-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="dsu12033-sec-0001" sec-type="section"> <title>Background</title> <p>Large full‐thickness wounds of the upper lip are often referred to operating room–based surgeons for repair given the perceived difficulties in restoring upper lip form and function with simpler operative techniques.</p> </sec> <sec id="dsu12033-sec-0002" sec-type="section"> <title>Objective</title> <p>To illustrate the functional, aesthetic, and cost differences between two techniques used to repair full‐thickness wounds of the upper lip.</p> </sec> <sec id="dsu12033-sec-0003" sec-type="section"> <title>Materials and Methods</title> <p>Two patients with difficult full‐thickness wounds of the majority of the upper lip were reviewed. One patient underwent reconstruction with a composite free flap in an operating room, and one underwent repair using local tissue rearrangement using bilateral modified nasolabial flaps in an outpatient setting.</p> </sec> <sec id="dsu12033-sec-0004" sec-type="section"> <title>Results</title> <p>Both patients were adequately reconstructed, but the patient repaired using local tissue rearrangement had a better aesthetic outcome and superior preservation of oral competency. In addition, the costs of this patient's reconstructive care were less than 2.4% of the costs of the care of the patient repaired using a free flap.</p> </sec> <sec id="dsu12033-sec-0005" sec-type="section"> <title>Conclusion</title> <p>When possible, large, full‐thickness wounds of the upper lip should be repaired with local tissue rearrangement in an outpatient setting to offer patients potential improvements in functional and aesthetic outcomes while minimizing treatment costs.</p> </sec> </abstract>