Ac. Lopez et al., Reconstruction of lower lip defects after tumor excision: An aesthetic andfunctional evaluation, OTO H N SUR, 123(3), 2000, pp. 317-323
We are presenting a new questionnaire to evaluate the functional and aesthe
tic aspects after reconstruction of defects of the lower lip resulting from
tumor excision. The questionnaire is based on objective parameters with nu
merical values. The application of the questionnaire is carried out based o
n 2 different surgical techniques, which have been used in the Department o
f Oral and Maxillofacial Surgery of La Princesa University Hospital in Madr
id. These techniques are used in the reconstruction of surgical defects and
concern the location and percentage of the lip resection. These techniques
are the rotation-advancement flap by Yu and the rotation-advancement in is
land flap by Colmenero et al. The defects are located laterally and they in
clude 40% to 60% of the length of the lip, avoiding the commissure. There i
s also one case with a defect that is almost 100% of the length of the lip.
According to the questionnaire, we conclude that in unilateral defects tha
t exceed 50% (up to 70%), Yu's technique provides better results from an ae
sthetic and functional point of view than Colmenero's technique. In subtota
l defects, bilateral Yu flaps provide optimum function, with good position
of the scars. This is a technique to be considered when confronted with ext
ensive defects of the lip that do not include the commissures.