Japanese Journal of Burn Injuries
Online ISSN : 2435-1571
Print ISSN : 0285-113X
Case Report
Reconstruction of the Upper Lip Vermilion by Successive SurgicalProcedures with Bilateral Buccal Musculomucosal Flapson a Burned Face
Yasuyuki OyatsuAkiyoshi KuboRie UeharaAyaka OkumaKunihiko OkadaKenichi Kumazawa
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2020 Volume 46 Issue 5 Pages 192-198

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Abstract
 We report a case in which tissue loss of the vermilion border of the upper lip due to burn injury was successfully reconstructed through a series of operations. The patient was a female in her early thirties who sustained severe burns on her face two years ago. Most of her face was replaced with skin grafts. In the first surgery in this series, bilateral pedicled buccal musculomucosal flaps were applied to increase the amount of vermilion tissue. However, whistling deformity developed. Therefore, in the second surgery, this deformity was corrected using bilateral V-Y advancement flaps. In addition, the Cupid’s bow was reconstructed in the third surgery to create the natural morphology of the upper lip. As a result of these successive surgical procedures, the appearance of the upper lip was significantly improved.
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© 2020 Japanese Society for Burn Injuries
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