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J Craniofac Surg. 2012 Jan;23(1):181-3. doi: 10.1097/SCS.0b013e3182418ed5.

Double mental neurovascular V-Y island advancement flaps combined with tongue flaps for functionally reconstructing total lower-lip defects.

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Department of Oral and Maxillofacial Surgery, Sun Yet-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.


Although several techniques have been described for lower-lip reconstruction, functional reconstruction of total lower-lip defects remains a challenge. This study investigated a functional reconstruction technique for total lower-lip defects. Nine lower-lip defects were reconstructed after cancer ablation using double mental V-Y island advancement flaps, based on mental neurovascular bundle combined with tongue flaps. All flaps survived completely. The patients were followed up for 6 to 20 months. The lip function and sensation were normal, and aesthetic appearance was satisfactory. No patient developed local recurrence or lymphatic metastasis. The technique of combining a double mental neurovascular V-Y island advancement flap with a lingual mucosal membrane flap is ideal for the functional repair of total lower-lip defects after cancer ablation.

[Indexed for MEDLINE]

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