Reconstruction of the lower lip using bilateral commissurotomy and advancement of skin, muscle, and mucosal flaps

Publication date: Available online 10 August 2016
Source:British Journal of Oral and Maxillofacial Surgery
Author(s): A. Sayan, S. Paraneetharan, D.W.K. Hsu, V. Ilankovan
Reconstruction of a composite defect of the lower lip after oncological resection is challenging, and it is essential to consider both functional and aesthetic components when repairing lips. We report a technique that can be used to repair anything ranging from 30% to the whole of the lower lip with a bilateral commissurotomy and advancement of skin, muscle, and mucosal flaps. This technique helps to achieve good oral function, excellent lip function, and a pleasant aesthetic appearance. It also prevents microstomia and allows patients to maintain normal sensory innervation.



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