DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURE

Detalhes bibliográficos
Autor(a) principal: Andrade, Pedro
Data de Publicação: 2011
Outros Autores: Brinca, Ana, Vieira, Ricardo, Figueiredo, Américo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.29021/spdv.69.3.81
Resumo: The lips, as moving structures of the face, are cosmetically and functionally important areas. Closure of surgical defects involving the oral commissures is particularly challenging, due to the high risk of local anatomy disruption and functional or esthetical compromise. We describe the case of a 69-year old patient who was observed with a large basal cell carcinoma of the right perioral region, extending to the right oral commissure. This lesion was radically excised, and the resulting surgical defect was closed using a homolateral double opposing rhomboidal flap. Post-operatory complications were not reported and the final result was esthetically very satisfactory, with preservation of lip function. Double opposing rhomboidal flaps are viable options for reconstructing defects involving the oral com- missures – in these simple procedures, donor skin is obtained from the nearby cheek and mandibular areas, allowing the preservation of the lip structure and function under a low risk of surgical complications.KEYWORDS – Surgical Flaps; Reconstructive Surgical Procedures; Lip Neoplasms; Carcinoma, Basal Cell.
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spelling DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURERETALHO ROMBOIDAL DUPLO PARA ENCERRAMENTO DE DEFEITO CIRÚRGICO DA COMISSURA LABIALThe lips, as moving structures of the face, are cosmetically and functionally important areas. Closure of surgical defects involving the oral commissures is particularly challenging, due to the high risk of local anatomy disruption and functional or esthetical compromise. We describe the case of a 69-year old patient who was observed with a large basal cell carcinoma of the right perioral region, extending to the right oral commissure. This lesion was radically excised, and the resulting surgical defect was closed using a homolateral double opposing rhomboidal flap. Post-operatory complications were not reported and the final result was esthetically very satisfactory, with preservation of lip function. Double opposing rhomboidal flaps are viable options for reconstructing defects involving the oral com- missures – in these simple procedures, donor skin is obtained from the nearby cheek and mandibular areas, allowing the preservation of the lip structure and function under a low risk of surgical complications.KEYWORDS – Surgical Flaps; Reconstructive Surgical Procedures; Lip Neoplasms; Carcinoma, Basal Cell.Os lábios, enquanto estruturas anatómicas móveis da face, apresentam crucial importância em termos funcionais e cosméticos. A abordagem de defeitos cirúrgicos da região perioral é um desafio importante na prática cirúrgica dermatológica, atendendo ao risco de distorção da anatomia local. Apresentamos o caso de um doente do sexo masculino, de 69 anos, com extenso carcinoma basocelular ulcerado da região perioral direita, com envolvi- mento da comissura labial. Foi realizada excisão radical da lesão e encerramento do defeito cirúrgico com retalho romboidal duplo das regiões geniana e mandibular homolaterais. Não houve complicações pós-operatórias e o re- sultado cosmético final foi bastante satisfatório, com preservação da funcionalidade das estruturas labiais. O retalho romboidal duplo é uma alternativa viável para o encerramento de defeitos cirúrgicos da comissura labial, utilizando pele das regiões geniana e mandibular adjacentes. É uma técnica de execução relativamente simples, com baixo risco de complicações, que oferece óptimos resultados funcionais e cosméticos.PALAVRAS-CHAVE – Procedimentos Cirúrgicos Reconstrutivos; Retalhos Cirúrgicos; Comissura Labial; Carcinoma Basocelular; Neoplasias do Lábio.Sociedade Portuguesa de Dermatologia e Venereologia2011-09-28T00:00:00Zjournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.29021/spdv.69.3.81oai:ojs.revista.spdv.com.pt:article/81Journal of the Portuguese Society of Dermatology and Venereology; Vol 69 No 3 (2011): Julho - Setembro; 443Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 69 n. 3 (2011): Julho - Setembro; 4432182-24092182-2395reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spdv.com.pt/index.php/spdv/article/view/81https://doi.org/10.29021/spdv.69.3.81https://revista.spdv.com.pt/index.php/spdv/article/view/81/79Andrade, PedroBrinca, AnaVieira, RicardoFigueiredo, Américoinfo:eu-repo/semantics/openAccess2022-10-06T12:34:39Zoai:ojs.revista.spdv.com.pt:article/81Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:10:40.599810Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURE
RETALHO ROMBOIDAL DUPLO PARA ENCERRAMENTO DE DEFEITO CIRÚRGICO DA COMISSURA LABIAL
title DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURE
spellingShingle DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURE
Andrade, Pedro
title_short DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURE
title_full DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURE
title_fullStr DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURE
title_full_unstemmed DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURE
title_sort DOUBLE OPPOSING RHOMBOIDAL FLAP FOR RECONSTRUCTION OF LARGE SURGICAL DEFECT OF THE LABIAL COMMISSURE
author Andrade, Pedro
author_facet Andrade, Pedro
Brinca, Ana
Vieira, Ricardo
Figueiredo, Américo
author_role author
author2 Brinca, Ana
Vieira, Ricardo
Figueiredo, Américo
author2_role author
author
author
dc.contributor.author.fl_str_mv Andrade, Pedro
Brinca, Ana
Vieira, Ricardo
Figueiredo, Américo
description The lips, as moving structures of the face, are cosmetically and functionally important areas. Closure of surgical defects involving the oral commissures is particularly challenging, due to the high risk of local anatomy disruption and functional or esthetical compromise. We describe the case of a 69-year old patient who was observed with a large basal cell carcinoma of the right perioral region, extending to the right oral commissure. This lesion was radically excised, and the resulting surgical defect was closed using a homolateral double opposing rhomboidal flap. Post-operatory complications were not reported and the final result was esthetically very satisfactory, with preservation of lip function. Double opposing rhomboidal flaps are viable options for reconstructing defects involving the oral com- missures – in these simple procedures, donor skin is obtained from the nearby cheek and mandibular areas, allowing the preservation of the lip structure and function under a low risk of surgical complications.KEYWORDS – Surgical Flaps; Reconstructive Surgical Procedures; Lip Neoplasms; Carcinoma, Basal Cell.
publishDate 2011
dc.date.none.fl_str_mv 2011-09-28T00:00:00Z
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dc.identifier.uri.fl_str_mv https://doi.org/10.29021/spdv.69.3.81
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dc.relation.none.fl_str_mv https://revista.spdv.com.pt/index.php/spdv/article/view/81
https://doi.org/10.29021/spdv.69.3.81
https://revista.spdv.com.pt/index.php/spdv/article/view/81/79
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publisher.none.fl_str_mv Sociedade Portuguesa de Dermatologia e Venereologia
dc.source.none.fl_str_mv Journal of the Portuguese Society of Dermatology and Venereology; Vol 69 No 3 (2011): Julho - Setembro; 443
Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 69 n. 3 (2011): Julho - Setembro; 443
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