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Type: Journal article
Title: Double island pedicle or V-Y flap repair for partial-thickness combined defects of the cutaneous and mucosal lip
Author: Huilgol, S.
Ma, J.
Hills, R.
Citation: Journal of the American Academy of Dermatology, 2014; 71(6):1198-1203
Publisher: Elsevier
Issue Date: 2014
ISSN: 0190-9622
Statement of
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
Mohs micrographic surgery
skin cancer
V-Y flap
Rights: © 2014 by the American Academy of Dermatology, Inc.
DOI: 10.1016/j.jaad.2014.07.027
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