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Reconstruction of the lower lip after broad oncologic resection by Colmenero flap: a reliable option
OBJECTIVE: Reconstruction of the lower lip is complex. The Colmenero flap is an effective albeit rarely described method for the repair of medium- to large-sized defects of the lower lip. METHODS: A retrospective review was carried out using data gathered from patients who had undergone Colmenero fl...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Pacini Editore Srl
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8686800/ https://www.ncbi.nlm.nih.gov/pubmed/34825668 http://dx.doi.org/10.14639/0392-100X-N1458 |
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author | Costa-Gonzalez, José-Miguel Sumarroca, Anna Aguilera-Saez, Jordi Martel-Martin, María Leidinger, Andreas Machin, María-Pilar Ramirez-Ruiz, Rosa-Delia |
author_facet | Costa-Gonzalez, José-Miguel Sumarroca, Anna Aguilera-Saez, Jordi Martel-Martin, María Leidinger, Andreas Machin, María-Pilar Ramirez-Ruiz, Rosa-Delia |
author_sort | Costa-Gonzalez, José-Miguel |
collection | PubMed |
description | OBJECTIVE: Reconstruction of the lower lip is complex. The Colmenero flap is an effective albeit rarely described method for the repair of medium- to large-sized defects of the lower lip. METHODS: A retrospective review was carried out using data gathered from patients who had undergone Colmenero flap reconstruction of the lower lip at our centre between 2015 and 2020. We analysed demographic, histologic and anatomic variables as well as surgical results. This review assessed flap functionality based on proper mouth closure, absence of microstomia and oral competence. RESULTS: Thirteen Colmenero flaps were performed in 9 patients, with the flap being used bilaterally in four cases. All patients had squamous cell carcinoma of the lower lip. The mean length of the reconstructed defect was 4.1 cm (ranging between 3-7.5 cm). None of the flaps exhibited signs of necrosis. Five patients required minor surgical touch up during the second procedure: two for dehiscence, two for oral leakage and one for esthetic improvement. All patients had excellent functional and aesthetic final outcomes. CONCLUSIONS: The Colmenero flap is a good resource for medium- and large-sized lower lip reconstructions due to its reliability, limited complications, and good aesthetic and functional results. |
format | Online Article Text |
id | pubmed-8686800 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Pacini Editore Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-86868002022-01-24 Reconstruction of the lower lip after broad oncologic resection by Colmenero flap: a reliable option Costa-Gonzalez, José-Miguel Sumarroca, Anna Aguilera-Saez, Jordi Martel-Martin, María Leidinger, Andreas Machin, María-Pilar Ramirez-Ruiz, Rosa-Delia Acta Otorhinolaryngol Ital Head and Neck OBJECTIVE: Reconstruction of the lower lip is complex. The Colmenero flap is an effective albeit rarely described method for the repair of medium- to large-sized defects of the lower lip. METHODS: A retrospective review was carried out using data gathered from patients who had undergone Colmenero flap reconstruction of the lower lip at our centre between 2015 and 2020. We analysed demographic, histologic and anatomic variables as well as surgical results. This review assessed flap functionality based on proper mouth closure, absence of microstomia and oral competence. RESULTS: Thirteen Colmenero flaps were performed in 9 patients, with the flap being used bilaterally in four cases. All patients had squamous cell carcinoma of the lower lip. The mean length of the reconstructed defect was 4.1 cm (ranging between 3-7.5 cm). None of the flaps exhibited signs of necrosis. Five patients required minor surgical touch up during the second procedure: two for dehiscence, two for oral leakage and one for esthetic improvement. All patients had excellent functional and aesthetic final outcomes. CONCLUSIONS: The Colmenero flap is a good resource for medium- and large-sized lower lip reconstructions due to its reliability, limited complications, and good aesthetic and functional results. Pacini Editore Srl 2021-11-26 2021-12 /pmc/articles/PMC8686800/ /pubmed/34825668 http://dx.doi.org/10.14639/0392-100X-N1458 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en |
spellingShingle | Head and Neck Costa-Gonzalez, José-Miguel Sumarroca, Anna Aguilera-Saez, Jordi Martel-Martin, María Leidinger, Andreas Machin, María-Pilar Ramirez-Ruiz, Rosa-Delia Reconstruction of the lower lip after broad oncologic resection by Colmenero flap: a reliable option |
title | Reconstruction of the lower lip after broad oncologic resection by Colmenero flap: a reliable option |
title_full | Reconstruction of the lower lip after broad oncologic resection by Colmenero flap: a reliable option |
title_fullStr | Reconstruction of the lower lip after broad oncologic resection by Colmenero flap: a reliable option |
title_full_unstemmed | Reconstruction of the lower lip after broad oncologic resection by Colmenero flap: a reliable option |
title_short | Reconstruction of the lower lip after broad oncologic resection by Colmenero flap: a reliable option |
title_sort | reconstruction of the lower lip after broad oncologic resection by colmenero flap: a reliable option |
topic | Head and Neck |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8686800/ https://www.ncbi.nlm.nih.gov/pubmed/34825668 http://dx.doi.org/10.14639/0392-100X-N1458 |
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