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|Title:||Double island pedicle or V-Y flap repair for partial-thickness combined defects of the cutaneous and mucosal lip|
|Citation:||Journal of the American Academy of Dermatology, 2014; 71(6):1198-1203|
|Shyamala C. Huilgol, Joyce H. Y. Ma, and Russell J. Hills|
|Abstract:||BACKGROUND: Removal of skin cancer at or near the vermilion border may result in a partial-thickness combined cutaneous and mucosal lip defect for which repair has potential for poor cosmetic and functional outcomes. OBJECTIVE: We sought to describe the closure and results from repair of combined lip defects using 2 island pedicle or V-Y flaps, 1 for the cutaneous lip and 1 for the mucosa. METHODS: A retrospective review of all patients with combined defects of the lip who underwent double island pedicle or V-Y flap repair from June 2008 to December 2013 was performed. RESULTS: Ten patients (6 female, 4 male; ages 35-89 years, mean age 60 years) had defects on the upper lip in 8 cases and on the lower lip in 2 cases. Follow-up was for 3 months or longer with good or excellent outcomes in all cases. LIMITATIONS: This was a nonrandomized, unblinded clinical case series with a limited sample size. CONCLUSION: Double island pedicle or V-Y flap repair is an elegant closure with good to excellent results and may avoid potential problems inherent in other repair options.|
|Keywords:||island pedicle flap; lip; Mohs micrographic surgery; skin cancer; vermilion; V-Y flap|
|Rights:||© 2014 by the American Academy of Dermatology, Inc.|
|Appears in Collections:||Medicine publications|
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