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Labia Majora Share

Defects involving specialised areas with characteristic anatomical features, such as the nipple, upper eyelid, and lip, benefit greatly from the use of sharing procedures. The vulva, a complex 3-dimensional structure, can also be reconstructed through a sharing procedure drawing upon the contralater...

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Autores principales: Lee, Hanjing, Yap, Yan Lin, Low, Jeffrey Jen Hui, Lim, Jane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Plastic and Reconstructive Surgeons 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300930/
https://www.ncbi.nlm.nih.gov/pubmed/28194353
http://dx.doi.org/10.5999/aps.2017.44.1.80
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author Lee, Hanjing
Yap, Yan Lin
Low, Jeffrey Jen Hui
Lim, Jane
author_facet Lee, Hanjing
Yap, Yan Lin
Low, Jeffrey Jen Hui
Lim, Jane
author_sort Lee, Hanjing
collection PubMed
description Defects involving specialised areas with characteristic anatomical features, such as the nipple, upper eyelid, and lip, benefit greatly from the use of sharing procedures. The vulva, a complex 3-dimensional structure, can also be reconstructed through a sharing procedure drawing upon the contralateral vulva. In this report, we present the interesting case of a patient with chronic, massive, localised lymphedema of her left labia majora that was resected in 2011. Five years later, she presented with squamous cell carcinoma over the left vulva region, which is rarely associated with chronic lymphedema. To the best of our knowledge, our management of the radical vulvectomy defect with a labia majora sharing procedure is novel and has not been previously described. The labia major flap presented in this report is a shared flap; that is, a transposition flap based on the dorsal clitoral artery, which has consistent vascular anatomy, making this flap durable and reliable. This procedure epitomises the principle of replacing like with like, does not interfere with leg movement or patient positioning, has minimal donor site morbidity, and preserves other locoregional flap options for future reconstruction. One limitation is the need for a lax contralateral vulva. This labia majora sharing procedure is a viable option in carefully selected patients.
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spelling pubmed-53009302017-02-13 Labia Majora Share Lee, Hanjing Yap, Yan Lin Low, Jeffrey Jen Hui Lim, Jane Arch Plast Surg Idea and Innovation Defects involving specialised areas with characteristic anatomical features, such as the nipple, upper eyelid, and lip, benefit greatly from the use of sharing procedures. The vulva, a complex 3-dimensional structure, can also be reconstructed through a sharing procedure drawing upon the contralateral vulva. In this report, we present the interesting case of a patient with chronic, massive, localised lymphedema of her left labia majora that was resected in 2011. Five years later, she presented with squamous cell carcinoma over the left vulva region, which is rarely associated with chronic lymphedema. To the best of our knowledge, our management of the radical vulvectomy defect with a labia majora sharing procedure is novel and has not been previously described. The labia major flap presented in this report is a shared flap; that is, a transposition flap based on the dorsal clitoral artery, which has consistent vascular anatomy, making this flap durable and reliable. This procedure epitomises the principle of replacing like with like, does not interfere with leg movement or patient positioning, has minimal donor site morbidity, and preserves other locoregional flap options for future reconstruction. One limitation is the need for a lax contralateral vulva. This labia majora sharing procedure is a viable option in carefully selected patients. The Korean Society of Plastic and Reconstructive Surgeons 2017-01 2017-01-20 /pmc/articles/PMC5300930/ /pubmed/28194353 http://dx.doi.org/10.5999/aps.2017.44.1.80 Text en Copyright © 2017 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Idea and Innovation
Lee, Hanjing
Yap, Yan Lin
Low, Jeffrey Jen Hui
Lim, Jane
Labia Majora Share
title Labia Majora Share
title_full Labia Majora Share
title_fullStr Labia Majora Share
title_full_unstemmed Labia Majora Share
title_short Labia Majora Share
title_sort labia majora share
topic Idea and Innovation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300930/
https://www.ncbi.nlm.nih.gov/pubmed/28194353
http://dx.doi.org/10.5999/aps.2017.44.1.80
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