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Semin Plast Surg 2018; 32(02): 069-074
DOI: 10.1055/s-0038-1645882
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Simplifying Lip Reconstruction: An Algorithmic Approach

Kyle J. Sanniec
1   Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
,
Jourdan A. Carboy
1   Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
,
James F. Thornton
1   Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
› Author Affiliations
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Publication History

Publication Date:
14 May 2018 (online)

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Abstract

The authors provide an overview of lip reconstruction after Mohs surgery based on the senior author's practice. Lip reconstruction offers unique challenges to preserve not only lip function but also aesthetics. Lip reconstruction must take into consideration the three anatomical layers that comprise the lip and defects that involve the mucosa, the muscle, the skin or more than one layer will help determine the modality of repair. The authors offer an algorithm based on defect location, tissue involvement, and severity of defect to simplify an often complex decision-making process.

Keywords

Lip Reconstruction - Mohs surgery - primary closure - full-thickness skin grafting - Ergotrid flap - V-Y advancement - Karapandzic flap - dermal matrices