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J Plast Reconstr Aesthet Surg. 2009 Oct;62(10):e333-6. doi: 10.1016/j.bjps.2007.12.052. Epub 2008 Jul 7.

Lower lip reconstruction with a hard palate mucoperiosteal graft.

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Department of Plastic and Reconstructive Surgery, Kyowa Hospital, Fushimiku, Kyoto, Japan.


Reconstruction of a lower lip deformity associated with leakage of saliva (drooling) and food spillage is challenging. To achieve complete closure of the mouth, the lips must have a sufficient and uniform thickness. Here we report a patient with lower lip deformity secondary to resection of a malignant tumor, in whom reconstruction was done with a hard palate mucoperiosteal graft. Perfect mouth closure without any leakage of saliva and a natural contour of the reconstructed lower lip were obtained, thus providing good aesthetic and functional results. This is the first report about the repair of a lower lip deformity with a hard palate mucoperiosteal graft. This type of graft seems to be a useful option for reconstructing lip deformities, and it can be widely applied to treat deformities caused by tumor resection, trauma, or cleft lip.

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